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

Maria Fernanda Villavicencio Jimenez, MD

Individual provider Pediatrics Physician · NPI 1568089621

Maria Fernanda Villavicencio Jimenez, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2020.

Licensed in
KS, MO
In the registry since
2020
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

1 Childrens Pl Msc 8116-0043-14
Saint Louis, MO 63110-1002
Phone: (314) 454-2094
Fax: (314) 454-2515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2024022842 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 94-10379 (KS)

Record details

NPI number1568089621
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

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