Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAIME HUMBERTO MEMBRENO, MD
Active Sole ProprietorJAIME HUMBERTO MEMBRENO, MD is a Sports Medicine (Emergency) healthcare provider located in KISSIMMEE, Florida. NPI 1255309704 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · KISSIMMEE, FL
Registration Details
- NPI Number
- 1255309704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2006 (20.476429528573 yrs)
- Last Updated
- Apr 12, 2017
- Licenses
-
ME85244 (FL)ME85244 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PARK PLACE BLVDSTE#202KISSIMMEE, FL, 347412332Browse FL providers · Browse ZIP 34741
- Phone
- 4079311510
- Fax
- 4079313759
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.