Organization Active NPI

Pimental Neurology Clinical Practice Corp

  • Neurology Physician
  • Pembroke Pines, FL
National Provider Identifier
1356706014
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PIMENTAL NEUROLOGY CLINICAL PRACTICE CORP
Practice address
2154 NW 139TH Ave
Pembroke Pines, FL 33028-2843
Phone
(787) 450-3541
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jose Pimental, MD
Title
Ceo
Phone
(787) 450-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X FL Primary

Addresses

Primary practice location

2154 NW 139TH Ave
Pembroke Pines, FL 33028-2843

Mailing address

2154 NW 139TH Ave
Pembroke Pines, FL 33028-2843

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1356706014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 NW 139TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 NW 139TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282843",
            "telephone_number": "787-450-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMENTAL NEUROLOGY CLINICAL PRACTICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "PIMENTAL",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-450-3541",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.