MEDICARE: PETER JIMENEZ D.C.

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	111N00000X	Chiropractor	CH11876	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1932559010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER JIMENEZ D.C.

Provider Business Mailing Address
First Line	:	9522 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4036
Country	:	US
Telephone Number	:	305-667-1188
Fax Number	:	305-667-1669

Provider Business Practice Location Address
First Line	:	9522 BIRD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4036
Country	:	US
Telephone Number	:	305-667-1188
Fax Number	:	305-667-1669

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

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	07/14/2025

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Directions to “ PETER JIMENEZ D.C.” Practice Location

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