Individual
DR. CARLOS J JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(461) 391-1728
(561) 447-9352
Mailing address
PO BOX 810969, BOCA RATON, FL 33481-0969
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0057285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054483200
—
FL
01
—
12273
BCBSFL
FL
01
—
300017250
RAILROAD MEDICARE
FL
Enumeration date
05/23/2006
Last updated
09/25/2013
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