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

Jose Manuel Jimenez Vega, MD

Individual provider Pediatrics Physician · NPI 1619208980

Jose Manuel Jimenez Vega, MD is a Pediatrics Physician in Woodbury, Minnesota. Works from 2 locations. Licensed in Michigan and Minnesota.

Licensed in
MI, MN
In the registry since
2010
Specialties on file
3
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

9680 Tamarack Rd Ste 130
Woodbury, MN 55125-2623
Phone: (651) 265-7575
Fax: (651) 265-7580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35 Michigan St Ne, Grand Rapids, MI 49503-2514 — (616) 391-3933

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 70530 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 70530 (MN)
Pediatric Endocrinology Physician Taxonomy 2080P0205X · Licence 4301108745 (MI)

Record details

NPI number1619208980
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESNovember 4, 2024
Certification dateOctober 31, 2024

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