MEDICARE: JOSE RAFAEL JIMENEZ-GARCIA MD

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	208D00000X	General Practice Physician	12658	PR
2	208D00000X	General Practice Physician	ACN931	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811908502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE RAFAEL JIMENEZ-GARCIA MD

Provider Business Mailing Address
First Line	:	425 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6863
Country	:	US
Telephone Number	:	321-343-6833
Fax Number	:	407-286-4515

Provider Business Practice Location Address
First Line	:	1834 N ALAFAYA TRL UNIT 3
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4716
Country	:	US
Telephone Number	:	407-627-0062
Fax Number	:	407-674-7346

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/19/2025

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