Organization Active NPI

Gilberto Jimenez MD Inc

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1871549840
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME82228 Issued in FL
Legal business name
GILBERTO JIMENEZ MD INC
Practice address
1435 W 49TH PL Ste 306
Hialeah, FL 33012-3147
Phone
(305) 364-9949
Fax
(305) 364-9949
NPI assigned
May 25, 2006
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Dr. Gilberto Jimenez, M.D.NPI 1083690366
Title
President
Phone
(305) 364-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME82228 FL Primary

Addresses

Primary practice location

1435 W 49TH PL Ste 306
Hialeah, FL 33012-3147

Mailing address

19346 SW 41St St
Miramar, FL 33029-2752
Phone (305) 364-9949

Other identifiers 2

IdentifierTypeStateIssuer
06097OtherFLBC BS OF FLORIDA
263490200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000789 FL Part B Supplier - Clinic/Group Practice 6709824287 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2074342Gilberto Jimenez MD1435 W 49TH PL Ste 306, Hialeah, FL 33012Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

1435 W 49th Pl
Ste 306
Hialeah, FL 33012
Phone (305) 364-9949

3401 W 4th Ave
Hialeah, FL 33012
Phone (305) 822-3331

Practitioners & affiliated clinicians

Practitioners 2

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1871549840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19346 SW 41ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330292752",
            "telephone_number": "305-364-9949",
            "fax_number": "305-364-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49TH PL STE 306",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123147",
            "telephone_number": "305-364-9949",
            "fax_number": "305-364-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILBERTO JIMENEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-364-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME82228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF FLORIDA",
            "identifier": "06097",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263490200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.