Lawrence Coronel Jimenez

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

760 East Ave BLDG 3911
Pensacola, FL 32508

Phone

(850) 452-8970

Fax

(850) 452-8978

NPI assigned

Apr 28, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1679917033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BROWN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325087003",
            "telephone_number": "619-944-5641",
            "fax_number": "850-452-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 EAST AVE BLDG 3911",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32508",
            "telephone_number": "850-452-8970",
            "fax_number": "850-452-8978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "psc 466 box 3",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "965950001",
            "country_code": "US",
            "telephone_number": "0112463704255",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "LAWRENCE",
        "middle_name": "CORONEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-28",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Kyle Jeudevine, D.C.
• Alfonso Jimenez, M.D.
• Amanda Jimenez, O.D.
• Corali Jimenez
• Derek Jimenez, M.D.
• Lincoln M Jimenez, MD
• Paul Anthony Jimenez, M.D.
• Raul Jimenez, MD
• Jo Rich Beauty
• Joann Massey Psy D

• Independent Duty Corpsman in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.