Pedro Jimenez Perez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB800822 Issued in FL

Practice address

16170 SW 107TH PL
Miami, FL 33157-2970

Phone

(754) 236-1497

Fax

(754) 236-1497

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1952089708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 SW 107TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572970",
            "telephone_number": "754-236-1497",
            "fax_number": "754-236-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 SW 107TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331572970",
            "telephone_number": "754-236-1497",
            "fax_number": "754-236-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ PEREZ",
        "first_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB800822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Vanessa Jimenez Orrego, M.D.
• Vanessa Jimenez Paz, PHYSICIAN ASSISTANT
• Isa Mariam Jimenez Perez
• Jucio Jimenez Perez, RBT
• Leydi Jimenez Perez
• Yanelis Jimenez Perez, RBT
• Elizabeth Jimenez Ramirez, BCBA
• Blanca Maria Jimenez Reyes
• Aylin Jimenez Rivera
• Raul Jimenez Rodriguez

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.