Organization Active NPI

Dr. Eleonor Pimentel MD PA

  • Primary Care Clinic/Center
  • Coral Gables, FL
National Provider Identifier
1467753871
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0049570 Issued in FL
Legal business name
DR. ELEONOR PIMENTEL MD PA
Practice address
747 Ponce de Leon Blvd
Suite 408
Coral Gables, FL 33134-2049
Phone
(305) 445-0700
Fax
(305) 447-1638
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Eleonor Pimentel, MDNPI 1346265105
Title
President
Phone
(305) 445-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0049570 FL Primary

Addresses

Primary practice location

747 Ponce de Leon Blvd
Suite 408
Coral Gables, FL 33134-2049

Mailing address

PO Box 141218
Coral Gables, FL 33114-1218
Phone (305) 445-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000189 FL Part B Supplier - Clinic/Group Practice 9335306737 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

747 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 444-2858

747 Ponce de Leon Blvd
Ste 408
Coral Gables, FL 33134
Phone (305) 445-0700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1467753871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141218",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331141218",
            "telephone_number": "305-445-0700",
            "fax_number": "305-447-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 408",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-445-0700",
            "fax_number": "305-447-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELEONOR PIMENTEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "ELEONOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-445-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0049570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.