Provider Demographics
NPI:1982630166
Name:MIAMI CENTER FOR CARDIOVASCULAR DISEASE, PLLC
Entity Type:Organization
Organization Name:MIAMI CENTER FOR CARDIOVASCULAR DISEASE, PLLC
Other - Org Name:JAVIER JIMENEZ, M.D., P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:JIMENEZ-CARCAMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-325-9445
Mailing Address - Street 1:1400 NW 12TH AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1003
Mailing Address - Country:US
Mailing Address - Phone:305-325-9445
Mailing Address - Fax:305-326-8661
Practice Address - Street 1:1400 NW 12TH AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1003
Practice Address - Country:US
Practice Address - Phone:305-325-9445
Practice Address - Fax:305-326-8661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 82470207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty