MEDICARE: DR. MARIA T CARRO 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
1	207V00000X	Obstetrics & Gynecology Physician	0	PR
2	207V00000X	Obstetrics & Gynecology Physician	01085901A	IN

General Provider Information

NPI Number	:	1770934283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA T CARRO JIMENEZ M.D.

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 CALLE TRINITARIA
Second Line	:	URB SANTA MARIA
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6614
Country	:	US
Telephone Number	:	787-667-5400
Fax Number	:	352-204-1393

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

Provider Enumeration Date	:	06/27/2016
Last Update Date	:	12/08/2025

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