Vanessa Jimenez Paz, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114127 Issued in FL

Practice address

1380 NE Miami Gardens Dr
Miami, FL 33179-4707

Phone

(305) 956-7755

Fax

(786) 446-7271

NPI assigned

May 4, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Pedro Martinez-Clark MD PA

  • Interventional Cardiology Physician
  • Miami, FL
  • NPI 1346685245
  Medicare reassignment
• Vidalife Medical Service Center Corp

  • Primary Care Clinic/Center
  • Miami, FL
  • NPI 1255907929
  Medicare reassignment

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1700521671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 ROYAL OAKS LN APT 306",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812458",
            "telephone_number": "786-351-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-956-7755",
            "fax_number": "786-446-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ PAZ",
        "first_name": "VANESSA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimenez Medical Center, Inc.
• Mirta Jimenez Mollinedo, RBT
• Yusbelky Jimenez Montenegro
• Marelen Jimenez Mustelier, RBT
• Katherine Vanessa Jimenez Orrego, M.D.
• Isa Mariam Jimenez Perez
• Jucio Jimenez Perez, RBT
• Leydi Jimenez Perez
• Pedro Jimenez Perez
• Yanelis Jimenez Perez, RBT

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.