Individual
DR. MARIO ALBERTO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14740 SW 26TH ST, MIAMI, FL 33185-5948
(305) 388-1118
Mailing address
12901 SW 66TH TERRACE DR, MIAMI, FL 33183-1315
(305) 388-1118
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME114414
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022441000
—
FL
01
—
ME114414
MEDICAL DOCTOR
FL
Enumeration date
03/27/2010
Last updated
09/13/2024
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