NPIMap

Organization Active NPI

Pimienta Medical Diagnostics Clinic PLC

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1902102874
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30541 Issued in AZ
Legal business name
PIMIENTA MEDICAL DIAGNOSTICS CLINIC PLC
Practice address
2330 N Rosemont Blvd
Suite #B
Tucson, AZ 85712-2163
Phone
(520) 323-2073
Fax
(520) 323-1166
NPI assigned
Feb 9, 2011
Last updated
Jan 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Veronica Pimienta, MDNPI 1952482663
Title
President
Phone
(520) 323-2073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30541 AZ Primary

Addresses

Primary practice location

2330 N Rosemont Blvd
Suite #B
Tucson, AZ 85712-2163

Mailing address

2330 N Rosemont Blvd
Suite #B
Tucson, AZ 85712-2163
Phone (520) 323-2073

Other identifiers 1

IdentifierTypeStateIssuer
717259MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2330 N Rosemont Blvd
Unit B
Tucson, AZ 85712
Phone (520) 323-2073

6296 E Grant Rd
Ste 140B
Tucson, AZ 85712

Practitioners & affiliated clinicians

Practitioners 3

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": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1902102874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 N ROSEMONT BLVD",
            "address_2": "SUITE #B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122163",
            "telephone_number": "520-323-2073",
            "fax_number": "520-323-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N ROSEMONT BLVD",
            "address_2": "SUITE #B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122163",
            "telephone_number": "520-323-2073",
            "fax_number": "520-323-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMIENTA MEDICAL DIAGNOSTICS CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "PIMIENTA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-323-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "30541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717259",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.