MEDICARE: RIGOBERTO JIMENEZ PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1144464	TX

General Provider Information

NPI Number	:	1427980663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIGOBERTO JIMENEZ PEREZ

Provider Business Mailing Address
First Line	:	1648 CARTER DR APT A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8391
Country	:	US
Telephone Number	:	786-515-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	1648 CARTER DR APT A
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8391
Country	:	US
Telephone Number	:	786-515-7541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ RIGOBERTO JIMENEZ PEREZ ” Practice Location

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