OrganizationActive
Beaches Pediatrics, PA
NPI 1295989606 · Pediatrics Physician · Jacksonville, FL
Provider details
- NPI number
- 1295989606
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jorge Rivera-Jimenez, President(904) 246-8684
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13820 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-5424
Phone: (904) 260-2565
Street-level locationGet directions
Mailing address
13820 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-5424
Additional practice locations (1)
- 333 4th Ave NJacksonville Beach, FL 32250-5621Phone: (904) 246-8684Fax: (904) 246-8380
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.