Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLENDY JIMENEZ MD
NPI 1417659343
Student in an Organized Health Care Education/Training Program in South Miami, FL

Q: What is Glendy Jimenez's NPI number?

The NPI number for Glendy Jimenez is 1417659343. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Q: What is Glendy Jimenez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glendy Jimenez was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2023PECOS Enrolled

6280 SW 72ND ST STE 410, SOUTH MIAMI, FL 33143(786) 595-8760(786) 533-9444 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Glendy Jimenez Md NPPES

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

GLENDY JIMENEZ MD (NPI 1417659343) is an individual student in an organized health care education/training program in South Miami, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417659343

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGLENDY JIMENEZCredential: MD

Location Address6280 SW 72ND ST STE 410South Miami, FL 33143-4860

Mailing AddressPo Box 198054Atlanta, GA 30384-8054 · (786) 662-7980

Phone(786) 595-8760

Fax(786) 533-9444

Sole ProprietorNo

Enumeration DateMarch 22, 2023

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1417659343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME179158 (FL)

6280 SW 72ND ST STE 410, South Miami, FL 33143

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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)

Glendy Jimenez 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 6

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

FRANCISCO VILASUSO MD PA LLC

Pain Medicine (Interventional Pain Medicine)