Organization Active NPI

Jorge F Pimienta MD Inc

  • Medical Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1538437918
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME0067199 Issued in FL
Legal business name
JORGE F PIMIENTA MD INC
Practice address
11760 SW 40TH St
Suite 542
Miami, FL 33175-3582
Phone
(305) 554-7575
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Mrs. Lesly Martell
Title
Secretary
Phone
(305) 554-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0067199 FL Primary

Addresses

Primary practice location

11760 SW 40TH St
Suite 542
Miami, FL 33175-3582

Mailing address

1421 SW 107TH Ave
#147
Miami, FL 33174-2526
Phone (305) 554-7575

Other identifiers 1

IdentifierTypeStateIssuer
376827900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Jorge F Pimienta MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11760 SW 40th St
Ste 542
Miami, FL 33175
Phone (305) 228-5471

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": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1538437918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SW 107TH AVE",
            "address_2": "#147",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742526",
            "telephone_number": "305-554-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 542",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-554-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE F PIMIENTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-554-7575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME0067199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376827900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.