Organization
HECTOR B JIMENEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR B JIMENEZ MD (PRESIDENT)
(305) 325-0913
Entity
Organization
Contact information
Practice address
1321 NW 14TH ST STE 101, MIAMI, FL 33125-1653
(305) 325-0913
(305) 326-8661
Mailing address
1321 NW 14TH ST STE 101, MIAMI, FL 33125-1653
(305) 325-0913
(305) 326-8661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068354000
MEDICAID
FL
01
—
233662
AVMED
FL
Enumeration date
01/31/2007
Last updated
02/28/2020
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