Carlos David Pimentel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11012358 Issued in FL

Practice address

10 Calle Casia
San Juan, PR 00921-3200

Phone

(787) 641-7582

NPI assigned

Mar 30, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1447838859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 35 #500 HILLS BROTHERS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-667-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "CARLOS",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.pimentel@va.gov",
            "affiliation": "N",
            "endpointDescription": "organization email  & Secure teams messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10 Calle Casia",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009213200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joan Eileen Pijem Berrios, M.D.
• Piko Therapy
• Catherine A Pimentel Hernandez, MS, RDN, LND
• Ada E Pimentel, MD
• Anicia Pimentel
• Rowina Rosa Pimentel, PH.D.
• Estuardo E Pineda Urquilla, MD
• Diego Antonio Pineiro Lira
• Lynnette M. Pineiro Valentin
• Luis Gerardo Pineiro-Cruz, MD

• Family Nurse Practitioner in San Juan, PR
• Providers in San Juan, PR by specialty
• Family Nurse Practitioner in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.