Organization Active NPI

Jimenez Medical Center, Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1831506997
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME 34093 Issued in FL
Legal business name
JIMENEZ MEDICAL CENTER, INC.
Practice address
1321 NW 14TH St Ste 101
Miami, FL 33125-1653
Phone
(305) 325-0913
Fax
(305) 326-8661
NPI assigned
Jul 21, 2014
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Mr. Victor Jimenez
Title
Ceo/Cfo
Phone
(305) 778-4649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME 34093 FL Primary
Cardiovascular Disease Physician 207RC0000X ME 34093 FL

Addresses

Primary practice location

1321 NW 14TH St Ste 101
Miami, FL 33125-1653

Mailing address

1321 NW 14TH St Ste 101
Miami, FL 33125-1653
Phone (305) 325-0913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150401000646 FL Part B Supplier - Clinic/Group Practice 2961729934 Receives reassigned benefits from 12 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1400 NW 12th Ave
Ste 1
Miami, FL 33136
Phone (305) 325-0913

7480 Fairway Dr
Ste 101
Miami Lakes, FL 33014
Phone (786) 409-7430

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1831506997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251653",
            "telephone_number": "305-325-0913",
            "fax_number": "305-326-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 NW 14TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251653",
            "telephone_number": "305-325-0913",
            "fax_number": "305-326-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMENEZ MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "305-778-4649",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 34093",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 34093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.