Active NPI
Anicia Pimentel
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1639245251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4166
- Practice address
- Edificio Cem
Ponce de Leon #1409
San Juan, PR 00914 - Phone
- (787) 960-5255
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4166 | PR | Primary |
Addresses
Primary practice location
Edificio Cem
Ponce de Leon #1409
San Juan, PR 00914
Mailing address
PO Box 4143
Valle Arriba Heights Station
Carolina, PR 00984-4143
Phone (787) 640-7940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4166 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639245251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4143",
"address_2": "VALLE ARRIBA HEIGHTS STATION",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009844143",
"telephone_number": "787-640-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO CEM",
"address_2": "PONCE DE LEON #1409",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00914",
"telephone_number": "787-960-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL",
"first_name": "ANICIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "4166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.