Jimenez, Rafael

Jimenez, Rafael is an individual health care provider with primary practice located at 302 W Bass St , Kissimmee FL 34741-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jimenez, Rafael can be contacted via phone (407) 518-7999.

Contact Information

Primary practice address
302 W Bass St Kissimmee FL 34741-5001
Phone: (407) 518-7999
Fax: (407) 518-9766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0059612 Florida

Profile Details

NPI number 1568493443
LBN Legal business name Jimenez, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568493443 NPPES
Florida Other 4380411 AETNA
Florida Other 06920 AETNA
Florida Other 2102311 AETNA
Florida Other 4724188 AETNA
Florida Other 10411101 AETNA
Florida MEDICAID 251215700 AETNA

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