Provider Demographics
NPI:1629028253
Name:JIMENEZ, FRANCISCO R (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:R
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW 62ND AVE
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-662-9320
Mailing Address - Fax:305-669-2111
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 200A
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-662-9320
Practice Address - Fax:305-669-2111
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 40903207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052704100Medicaid
FL052704100Medicaid
DCE19732Medicare UPIN