MEDICARE: DR. KENYA JIMENEZ IORIO DDS

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	122300000X	Dentist	29402	FL

General Provider Information

NPI Number	:	1205581014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENYA JIMENEZ IORIO DDS

Provider Business Mailing Address
First Line	:	8085NW 42 STREET
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166
Country	:	US
Telephone Number	:	786-296-5733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1005
Country	:	US
Telephone Number	:	305-689-6725
Fax Number	:	305-689-1133

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

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	05/27/2026

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