Individual provider Active NPI

Andres Jimenez, M.D.

  • Public Health & General Preventive Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1689843534
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME152696 Issued in FL
Practice address
4 W Las Olas Blvd Apt 2408
Fort Lauderdale, FL 33301-3091
Phone
(516) 743-1738
Fax
(214) 387-1079
NPI assigned
Feb 25, 2008
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X ME152696 FL
Public Health & General Preventive Medicine Physician 2083P0901X ME152696 FL Primary

Addresses

Primary practice location

4 W Las Olas Blvd Apt 2408
Fort Lauderdale, FL 33301-3091

Mailing address

4 W Las Olas Blvd Apt 2408
Fort Lauderdale, FL 33301-3091
Phone (516) 743-1738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505001991 NY Practitioner - Preventive Medicine 3173910460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME152696FLMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier Life Medicine PLLC Public Health & General Preventive Medicine Current Accepting new patients
Trellus Medicine PC PastSince Oct 1, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1689843534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W LAS OLAS BLVD APT 2408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013091",
            "telephone_number": "516-743-1738",
            "fax_number": "214-387-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W LAS OLAS BLVD APT 2408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013091",
            "telephone_number": "516-743-1738",
            "fax_number": "214-387-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "FL",
            "license": "ME152696",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME152696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.