MEDICARE: IMAE MEDICAL SOLUTIONS LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1730050253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMAE MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8306 MILLS DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4838
Country	:	US
Telephone Number	:	347-898-3038
Fax Number	:

Provider Business Practice Location Address
First Line	:	7108 SW 112TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-1961
Country	:	US
Telephone Number	:	347-898-3038
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	DR. JORGE IMAE TIRADO BIENTZ
Credential	:	MD
Telephone Number	:	347-898-3038

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	09/17/2025

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