Active NPI
Jimenez Chiropractic-Medspa, LLC
- Adolescent Medicine (Internal Medicine) Physician
- Coral Gables, FL
National Provider Identifier
1740618503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- Legal business name
- JIMENEZ CHIROPRACTIC-MEDSPA, LLC
- Practice address
- 2464 Coral Way
Coral Gables, FL 33145-3419 - Phone
- (786) 294-0710
- Fax
- (786) 294-0750
- NPI assigned
- Oct 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maykel Jiemenz, DC
- Title
- President
- Phone
- (786) 294-0710
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH10366 | FL | |
| Internal Medicine Physician | 207R00000X | |||
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | Primary | ||
| Medical Physician Assistant | 363AM0700X | PA9100157 | FL |
Addresses
Primary practice location
2464 Coral Way
Coral Gables, FL 33145-3419
Mailing address
2464 Coral Way
Coral Gables, FL 33145-3419
Phone (786) 294-0710
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1740618503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 CORAL WAY",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331453419",
"telephone_number": "786-294-0710",
"fax_number": "786-294-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2464 CORAL WAY",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331453419",
"telephone_number": "786-294-0710",
"fax_number": "786-294-0750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMENEZ CHIROPRACTIC-MEDSPA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-14",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "JIEMENZ",
"authorized_official_first_name": "MAYKEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-294-0710",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10366",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9100157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.