IndividualActive
Jose Jimenez Vega, M.D.
NPI 1619208980 · Pediatric Endocrinology Physician · Woodbury, MN
Provider details
- NPI number
- 1619208980
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 70530 (MN)
Practice location
9680 Tamarack Rd Ste 130
Woodbury, MN 55125-2623
Phone: (651) 265-7575
Fax: (651) 265-7580
Mailing address
9680 Tamarack Rd Ste 130
Woodbury, MN 55125-2623
Registry dates
- Enumerated
- 2010-01-26
- Last updated
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.