Jesus L Jimenez Barredo MD PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME101359 Issued in FL

Legal business name

JESUS L JIMENEZ BARREDO MD PA

Practice address

16520 NW 77TH PL
Miami Lakes, FL 33016-3417

Phone

(517) 944-1914

Fax

(786) 558-4216

NPI assigned

Oct 24, 2011

Last updated

Oct 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jesus L Jimenez Barredo, MD

Title

President

Phone

(517) 944-1914

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1881970770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 NW 77TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163417",
            "telephone_number": "517-944-1914",
            "fax_number": "786-558-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 NW 77TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330163417",
            "telephone_number": "517-944-1914",
            "fax_number": "786-558-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS L JIMENEZ BARREDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ  BARREDO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-944-1914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME101359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ME101359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JCV Homemaker and Companion Services LLC
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• Ange-Fennie Jean, LMFT
• Vanessa Jeanjacques
• Jel Medical Center Corp
• Justin Parker Jeter, M.D.
• Zuleymis Jimenez Tapanes
• Vladimir Jimenez Vera, RBT
• Charlotte Jimenez
• Christian Jimenez

• Adult Medicine Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.