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Carlos Jimenez

Physician β€’ Miami, FL

Deactivated NPI 1629463146 Deactivated in NPPES Male Practitioner
Practice location in NPPES

2770 Sw 23rd St
Miami, FL 331453308

Phone: 3054612926

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 08, 2018; the reason is not published. The records below are historical. They do not show whether Carlos Jimenez currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 01, 2015
NPI Deactivation Date January 08, 2018
NPI Active Period 2015 – 2018

Practice Location & Contact Primary Location

Practice Address

2770 Sw 23rd St

Miami, FL 331453308

Telephone 3054612926
Fax 3054612926
Organization at the Same NPPES Address or Phone
Nice Transportation Service Inc Facility NPI 1598068926

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Miami and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES FL 30197

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 08, 2018

NPPES lists this NPI as deactivated as of January 08, 2018; the reason is not published.

βœ…
NPI Profile Active April 01, 2015

NPI status registered as active in NPPES database

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Practice Location (Initial Record) April 01, 2015

Registered at 2770 SW 23RD ST, MIAMI, FL 331453308 (Tel: 3054612926)

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Business Mailing Address (Initial Record) April 01, 2015

Registered at 2770 SW 23RD ST, MIAMI, FL 331453308 (Tel: 3054612926)

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Provider Name / Credentials (Initial Record) April 01, 2015

Recorded as CARLOS JIMENEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2015

Non-emergency Medical Transport (VAN) (license number reported to NPPES: FL 30197)

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Initial NPI Registration & Enumeration April 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629463146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2015
Last Update: April 01, 2015
Deactivation Date: January 08, 2018

Mailing Address

2770 Sw 23rd St

Miami, FL 331453308

Phone: 3054612926

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.