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

Eusebio R Jimenez

Individual provider Family Nurse Practitioner · NPI 1063083798

Eusebio R Jimenez is a Nurse Practitioner in Miami, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

85 Grand Canal Dr Ste 209
Miami, FL 33144-2575
Phone: (786) 703-9966
Fax: (786) 703-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11014051 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APRN11014051 (FL)

Record details

NPI number1063083798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 4, 2021
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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