Jose Lucas Pimentel Fernandez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5007 Issued in PR

Practice address

#62 Baldorioty Street
Guayama, PR 00784

Phone

(787) 864-4860

Fax

(787) 864-7895

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Menonita Guayama Inc

  • Critical Access Hospital
  • Guayama, PR
  • NPI 1639696289
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1366472730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850998",
            "telephone_number": "787-864-4994",
            "fax_number": "787-864-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#62 BALDORIOTY STREET",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-4860",
            "fax_number": "787-864-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Armando Perez, MD
• Vidal Antonio Perez, DMD
• PHM Multidisciplinary Clinic LLC
• Picart Health Services PSC.
• Zinnia Enid Picart, M.D.
• PMC Marketing Corp
• Fabiola Poggi-Lebron, RDN
• Adria Polanco Guzman, M.A.
• Migdalia Polanco, M.D
• Ada Pomales

• Surgery Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.