MEDICARE: MARCOS JIMENEZ

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	225100000X	Physical Therapist	PTA31751	FL

General Provider Information

NPI Number	:	1982546305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCOS JIMENEZ

Provider Business Mailing Address
First Line	:	117 NW 42ND AVE APT 615
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-5418
Country	:	US
Telephone Number	:	786-600-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S DIXIE HWY STE 4D
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2232
Country	:	US
Telephone Number	:	786-600-8900
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/07/2026

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Directions to “ MARCOS JIMENEZ ” Practice Location

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