MARIA DE GUADALUPE JIMENEZ AYASTA MD
NPI 1104670504
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Maria De Guadalupe Jimenez Ayasta's NPI number?

The NPI number for Maria De Guadalupe Jimenez Ayasta is 1104670504. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Q: What is Maria De Guadalupe Jimenez Ayasta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 12, 2024PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-1596 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maria De Guadalupe Jimenez Ayasta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA DE GUADALUPE JIMENEZ AYASTA MD (NPI 1104670504) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104670504

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARIA DE GUADALUPE JIMENEZ AYASTACredential: MD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 626-1596

Phone(612) 626-1596

Sole ProprietorNo

Enumeration DateApril 12, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1104670504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria De Guadalupe Jimenez Ayasta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE IRENE GRAY

Rehabilitation Practitioner