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NPI Code Detail

MEDICARE: RAUL A. JIMENEZ MD

MEDICARE: RAUL A. 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
1207RC0001XClinical Cardiac Electrophysiology PhysicianME62750FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
172434OTHERAVMED
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
382440OTHERBCBS

General Provider Information

NPI Number : 1649267923
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAUL A. JIMENEZ MD
Provider Business Mailing Address
First Line : 2035 LITTLE RD.
Second Line :
City : TRINITY
State : FL
Zip : 34655-4421
Country : US
Telephone Number : 727-842-9486
Fax Number : 727-372-1825
Provider Business Practice Location Address
First Line : 2035 LITTLE RD.
Second Line :
City : TRINITY
State : FL
Zip : 34655-4421
Country : US
Telephone Number : 727-842-9486
Fax Number : 727-372-1825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 02/10/2026

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Directions to “ RAUL A. JIMENEZ MD” Practice Location

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