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JAIME HUMBERTO MEMBRENO MD NPI 1255309704


NPI Information

NPI: 1255309704
Provider Name: JAIME HUMBERTO MEMBRENO, MD
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

PECOS Registration: Yes

Address:
100 PARK PLACE BLVD
STE#202
KISSIMMEE, FL
ZIP 34741
Phone: (407) 931-1510
Get Directions

Jaime Humberto Membreno, MD is a retina specialist ophthalmology in Kissimmee, FL with 26 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Jaime Humberto Membreno, MD NPI is 1255309704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

100 PARK PLACE BLVD
STE#202
KISSIMMEE, FL
ZIP 34741-332
Phone: (407) 931-1510
Fax: (407) 931-3759

The NPI 1255309704 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 3/10/2006 and was last updated on 4/12/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyME85244FLORIDANo
2207WX0107XOphthalmologyRetina SpecialistME85244FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U2626XMEDICARE PINFLORIDA
2H65829MEDICARE UPIN
3U2626XMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.