Individual provider Active NPI

Alvaro Jesus Jimenez Aguilar, RN

  • Registered Nurse
  • Eagan, MN
National Provider Identifier
1730651753
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2445809 Issued in MN
Practice address
1764 Silver Bell Rd
Eagan, MN 55122
Phone
(952) 500-0593
NPI assigned
Jan 2, 2019
Last updated
Feb 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2445809 MN Primary

Addresses

Primary practice location

1764 Silver Bell Rd
Eagan, MN 55122

Mailing address

1764 Silver Bell Rd
Eagan, MN 55122-1146
Phone (952) 500-0593

Other practice location 1

14701 Portland Ave Apt 310
Burnsville, MN 55306-6409
Phone (952) 500-0593

Other practice location 2

14701 Portland Ave Apt 310
Burnsville, MN 55306-6409
Phone (952) 500-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2445809MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1730651753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 SILVER BELL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221146",
            "telephone_number": "952-500-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 SILVER BELL RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55122",
            "telephone_number": "952-500-0593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14701 Portland Ave Apt 310",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553066409",
            "country_code": "US",
            "telephone_number": "952-500-0593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14701 Portland Ave Apt 310",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553066409",
            "country_code": "US",
            "telephone_number": "952-500-0593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ AGUILAR",
        "first_name": "ALVARO",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2445809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.