Jaime Jimenez Agosto in Hattiesburg - Retina Specialist
Jaime Jimenez Agosto - NPI 1932102951
Jaime Jimenez Agosto is a Retina Specialist in Hattiesburg, Mississippi. Jaime Jimenez Agosto practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Jaime Jimenez Agosto is 1932102951. The last update date is 2017-04-05.
Jaime Jimenez Agosto's current location address is 1420 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012643937 and fax number 6012645930. The mailing address for Jaime Jimenez Agosto is 1420 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaime Jimenez Agosto |
|---|---|
| Address | 1420 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012643937 |
| Fax Number | 6012645930 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932102951 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2017-04-05 |
Provider Mailing Address Detail
| Address | 1420 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 3940231070 |
| Phone Number | 6012643937 |
| Fax Number | 6012645930 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 12372 |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 512I180024 | MS | MEDICARE PTAN FOR SOUTHERN EYE | |
| 115830 | MS | -- | |
| 512I180025 | MS | MEDICARE PTAN FOR SOUTHERN EYE |
Post Comment/ Review Below
What is the unique identifier code issued to Jaime Jimenez Agosto by the Centers for Medicare & Medicaid Services (CMS)?
The Jaime Jimenez Agosto has been assigned the NPI (National Provider Identifier) 1932102951. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Jaime Jimenez Agosto's specialty and taxonomy code?
The Jaime Jimenez Agosto's specialty is Retina Specialist, and the corresponding taxonomy code is 207Wx0107X.
What is the area of specialization for Jaime Jimenez Agosto, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jaime Jimenez Agosto is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932102951 to Jaime Jimenez Agosto?
The Jaime Jimenez Agosto received its 1932102951 assignment from the Centers for Medicare & Medicaid Services on 2005-05-23.
When was the information pertaining to Jaime Jimenez Agosto most recently updated or revised?
The details related to Jaime Jimenez Agosto, including its address, specialty, and other relevant information, were last updated or revised on 2017-04-05.