Active NPI
Juan Gabriel Jimenez
- Internal Medicine Physician
- Miami, FL
National Provider Identifier
1841817194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35703
- Practice address
- 11200 SW 8TH St # 4-274
Miami, FL 33199-2347 - Phone
- (305) 348-7888
- NPI assigned
- Jul 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35703 | FL | Primary |
Addresses
Primary practice location
11200 SW 8TH St # 4-274
Miami, FL 33199-2347
Mailing address
11200 SW 8TH St # 4-274
Miami, FL 33199-2516
Phone (305) 348-7888
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723002345 | FL | Order and Referring Only - Internal Medicine | 6103332341 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35703 | FL | MD | Internal Medicine Physician |
Interoperability endpoints
- jjimenez5349575@adventhealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1841817194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST # 4-274",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992516",
"telephone_number": "305-348-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW 8TH ST # 4-274",
"city": "MIAMI",
"state": "FL",
"postal_code": "331992347",
"telephone_number": "305-348-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ",
"first_name": "JUAN",
"middle_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-02",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "35703",
"primary": true
}
],
"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 Jan 6, 2023; 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.