Individual provider Active NPI

Maurin Jimenez, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1982783353
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME95052 Issued in FL
Practice address
962 SW 82ND Ave
Miami, FL 33144-4271
Phone
(786) 619-3360
Fax
(786) 619-3360
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME95052 FL Primary
Pediatrics Physician 208000000X ME95052 FL

Addresses

Primary practice location

962 SW 82ND Ave
Miami, FL 33144-4271

Mailing address

962 SW 82ND Ave
Miami, FL 33144-4271
Phone (786) 619-3360

Other identifiers 1

IdentifierTypeStateIssuer
108944400MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000403 FL Practitioner - Family Practice 5890827737 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

962 SW 82ND Ave
Miami, FL 33144-4271
Phone (786) 619-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME95052FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maurin Jimenez MD PA Family Medicine CurrentSince Aug 26, 2009 Accepting new patients
Urgent Care Physicians of Palmetto Bay LLC CurrentSince Sep 16, 2010 Accepting new patients
Urgent Care Physicians of Country Walk LLC CurrentSince Sep 16, 2010 Accepting new patients

Locations

8840 SW 40th St
Ste 100
Miami, FL 33165
Phone (786) 596-3890

962 SW 82nd Ave
Miami, FL 33144
Phone (305) 265-4167

13500 SW 152nd St
Miami, FL 33177
Phone (786) 596-4300

8750 SW 144th St
Palmetto Bay, FL 33176
Phone (786) 596-3840

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1982783353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444271",
            "telephone_number": "786-619-3360",
            "fax_number": "786-619-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 SW 82ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444271",
            "telephone_number": "786-619-3360",
            "fax_number": "786-619-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MAURIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95052",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME95052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108944400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.