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NPI Code Detail

MEDICARE: DR. MARIA JIMENEZ M.D.

MEDICARE: DR. MARIA JIMENEZ M.D.
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
1208000000XPediatrics PhysicianK1404TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538164082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA JIMENEZ M.D.
Provider Business Mailing Address
First Line : 807 N CAGE BLVD
Second Line :
City : PHARR
State : TX
Zip : 78577-3117
Country : US
Telephone Number : 956-782-7993
Fax Number : 956-781-3165
Provider Business Practice Location Address
First Line : 807 N CAGE BLVD
Second Line :
City : PHARR
State : TX
Zip : 78577-3117
Country : US
Telephone Number : 956-782-7993
Fax Number : 956-781-3165
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 05/13/2013

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Directions to “ DR. MARIA JIMENEZ M.D.” Practice Location

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