MEDICARE: DR. MAURIN JIMENEZ 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	207Q00000X	Family Medicine Physician	ME95052	FL
2	208000000X	Pediatrics Physician	ME95052	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	:	1982783353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAURIN JIMENEZ MD

Provider Business Mailing Address
First Line	:	962 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4271
Country	:	US
Telephone Number	:	786-619-3360
Fax Number	:	786-619-3360

Provider Business Practice Location Address
First Line	:	962 SW 82ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4271
Country	:	US
Telephone Number	:	786-619-3360
Fax Number	:	786-619-3360

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

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	02/19/2025

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