Basic Information
| Provider Information | |||||||||
| NPI: | 1649712761 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JAIMES | ||||||||
| FirstName: | NATALIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 NW 10TH AVE | ||||||||
| Address2: | RMSB 2023A (LOCATOR CODE 250) | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052436735 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1600 NW 10TH AVE | ||||||||
| Address2: | RMSB 2023A (LOCATOR CODE 250) | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052436735 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2016 | ||||||||
| LastUpdateDate: | 04/17/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 5163604 | ZZ | N | Allopathic & Osteopathic Physicians | Dermatology | 207N00000X | MFC1784 | FL | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.