Manuel O Pimentel - Lebron, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10109 Issued in PR

Practice address

1 Calle Bertoly
Ponce, PR 00730-3758

Phone

(787) 842-0062

Fax

(787) 284-1397

NPI assigned

Aug 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 5

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

Locations

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

• Dr. Manuel Pimentel Lebron LLC

  • General Practice Physician
  • Ponce, PR
  • NPI 1225913536
  Medicare reassignment NPD
• Centro Medicina Pimaria Dr. Pimentel Lebron, Inc.

  • General Practice Physician
  • Ponce, PR
  • NPI 1902221112
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679582118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33385",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007330385",
            "telephone_number": "787-842-0062",
            "fax_number": "787-284-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE BERTOLY",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303758",
            "telephone_number": "787-842-0062",
            "fax_number": "787-284-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL - LEBRON",
        "first_name": "MANUEL",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # MMM HEALTHCARE",
            "identifier": "200038",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # CIGNA OF PR",
            "identifier": "110109",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # CRUZ AZUL DE P",
            "identifier": "063633",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # HUMANA GOLD PL",
            "identifier": "7330091",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # TRIPLE S PR",
            "identifier": "82341",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guillermo Luis Pico, MSMS
• Valeria Maricelys Pierluissi Ruiz
• Annette E. Pietri-Ramirez, MD
• Ginna Elizabeth Pietri, PA
• Waleska Pietri, MD
• Diangelo J Pina Ramos
• Je Tem J Pina Torres
• Edgardo Pineiro-Mercado, MD
• Daniela Martha Pinero Molina, SLP
• Eduardo Raul Pintado

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.