| Milton A Jimenez Md Pa | |
|
12002 Sw 128th Ct Ste 204 Miami FL 33186-4639 | |
| (305) 234-3408 | |
| (305) 255-1752 |
| Full Name | Milton A Jimenez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12002 Sw 128th Ct, Miami, Florida |
| Authorized Official Name and Position | Milton A Jimenez (PRESIDENT) |
| Authorized Official Contact | 3052343408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton A Jimenez Md Pa 12973 Sw 112th St Ste 224 Miami FL 33186-4768 Ph: (305) 234-3408 | Milton A Jimenez Md Pa 12002 Sw 128th Ct Ste 204 Miami FL 33186-4639 Ph: (305) 234-3408 |
| NPI Number | 1073532909 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 4880733112 |
|---|---|
| Medicare Enrollment ID | O20091130000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073532909 | NPI | - | NPPES |
| 260910000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME77251 (Florida) | Primary |
| Provider Name | Milton A Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437148384 PECOS PAC ID: 0941281257 Enrollment ID: I20040525000049 |
| Provider Name | Jodi Lynn Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295836377 PECOS PAC ID: 7911974878 Enrollment ID: I20040911000116 |
| Provider Name | Rosa G Garcia Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982181194 PECOS PAC ID: 0042556631 Enrollment ID: I20190118001959 |
| Provider Name | Irina De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003384298 PECOS PAC ID: 4082953344 Enrollment ID: I20190304001474 |
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