| Maurin Jimenez Md Pa | |
|
962 Sw 82nd Ave Miami FL 33144-4271 | |
| (786) 619-3360 | |
| (786) 619-3360 |
| Full Name | Maurin Jimenez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 962 Sw 82nd Ave, Miami, Florida |
| Authorized Official Name and Position | Maurin Jimenez (PRESIDENT) |
| Authorized Official Contact | 7866193360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maurin Jimenez Md Pa 962 Sw 82nd Ave Miami FL 33144-4271 Ph: (786) 619-3360 | Maurin Jimenez Md Pa 962 Sw 82nd Ave Miami FL 33144-4271 Ph: (786) 619-3360 |
| NPI Number | 1063803872 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063803872 | NPI | - | NPPES |
| 275404500 | Medicaid | FL | |
| 53011 | Other | FL | BLUE CROSS, BLUE SHIELD |
| 9021195 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME95052 (Florida) | Primary |
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