| Steven Jimenez M.d. Inc. | |
|
4974 S Rainbow Blvd Suite 120 Las Vegas NV 89118-1400 | |
| (702) 367-0323 | |
| (702) 367-4431 |
| Full Name | Steven Jimenez M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4974 S Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Helena Renee Jimenez (OFFICE MANAGER, TREASURER,SECRETARY) |
| Authorized Official Contact | 7023670323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Jimenez M.d. Inc. 4974 S Rainbow Blvd Suite 120 Las Vegas NV 89118-1400 Ph: (702) 367-0323 | Steven Jimenez M.d. Inc. 4974 S Rainbow Blvd Suite 120 Las Vegas NV 89118-1400 Ph: (702) 367-0323 |
| NPI Number | 1073813945 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 06/09/2021 |
| Medicare PECOS PAC ID | 3173718806 |
|---|---|
| Medicare Enrollment ID | O20101108001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073813945 | NPI | - | NPPES |
| 2002755 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 8183 (Nevada) | Primary |
| Provider Name | Steven M Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336229160 PECOS PAC ID: 9638238587 Enrollment ID: I20101020001217 |
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