| Hector B Jimenez Md Pa | |
|
1321 Nw 14th St Ste 101 Miami FL 33125-1653 | |
| (305) 325-0913 | |
| (305) 326-8661 |
| Full Name | Hector B Jimenez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1321 Nw 14th St Ste 101, Miami, Florida |
| Authorized Official Name and Position | Hector B Jimenez (PRESIDENT) |
| Authorized Official Contact | 3053250913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hector B Jimenez Md Pa 1321 Nw 14th St Ste 101 Miami FL 33125-1653 Ph: (305) 325-0913 | Hector B Jimenez Md Pa 1321 Nw 14th St Ste 101 Miami FL 33125-1653 Ph: (305) 325-0913 |
| NPI Number | 1174660005 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 02/28/2020 |
| Medicare PECOS PAC ID | 6406225960 |
|---|---|
| Medicare Enrollment ID | O20221206001701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174660005 | NPI | - | NPPES |
| 068354000 | Other | FL | MEDICAID |
| 233662 | Other | FL | AVMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Lazaro Priegues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082876 PECOS PAC ID: 4486716040 Enrollment ID: I20081216000715 |
| Provider Name | Christian Alexander Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831573161 PECOS PAC ID: 6709201833 Enrollment ID: I20200805003079 |
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