Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Santiago Jimenez, MD

Individual provider Diagnostic Radiology Physician · NPI 1073595740

Dr. Santiago Jimenez, MD is a Diagnostic Radiology in Melbourne, Florida. Graduated from Ponce School of Medicine in 2004, 22 years ago. Practices with Reono Bertagnolli a Medical Group, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
22
Trained at
Ponce School of Medicine
Licensed in
FL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone: (321) 549-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5166 Lowing Ct, Rockledge, FL 32955-7002 — (913) 435-5806

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME94727 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence BP10024058 (TX)

Record details

NPI number1073595740
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 17, 2005
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Reono Bertagnolli A Medical Group — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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