Healthcare Provider Details

I. General information

NPI: 1427497734
Provider Name (Legal Business Name): MARIA ALEJANDRA JAIMES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA A JAIMES MD

II. Dates (important events)

Enumeration Date: 06/19/2013
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6215 N UNIVERSITY DR
TAMARAC FL
33321-4022
US

IV. Provider business mailing address

6215 N UNIVERSITY DR
TAMARAC FL
33321-4022
US

V. Phone/Fax

Practice location:
  • Phone: 754-444-4061
  • Fax: 855-576-4062
Mailing address:
  • Phone: 754-444-4061
  • Fax: 855-576-4062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME128336
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: