Provider Demographics
NPI:1851597876
Name:DANIELLE J. JIMENEZ-FLORES,MD.PA
Entity Type:Organization
Organization Name:DANIELLE J. JIMENEZ-FLORES,MD.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:JIMENEZ-FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-682-6246
Mailing Address - Street 1:4324 N MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2477
Mailing Address - Country:US
Mailing Address - Phone:956-682-6246
Mailing Address - Fax:956-688-6468
Practice Address - Street 1:4324 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2477
Practice Address - Country:US
Practice Address - Phone:956-682-6246
Practice Address - Fax:956-688-6468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9264207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0069PAOtherBLUE CROSS BLUE SHIELD
TX00X748OtherMEDICARE