Centro Medicina Pimaria Dr. Pimentel Lebron, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10109 Issued in PR

Legal business name

CENTRO MEDICINA PIMARIA DR. PIMENTEL LEBRON, INC.

Practice address

1 Calle Bertoly
Ponce, PR 00730-3758

Phone

(787) 842-0062

Fax

(787) 284-1397

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manuel O Pimentel Lebron, MDNPI 1679582118

Title

President

Phone

(787) 842-0062

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Manuel O Pimentel - Lebron, MD

  • General Practice Physician
  • Ponce, PR
  • NPI 1679582118
  NPD (past) Authorized official
• Jorge E Ruiz Diaz, M.D.

  • Internal Medicine Physician
  • Adjuntas, PR
  • NPI 1215950985
  NPD (past)

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1902221112",
    "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": {
        "organization_name": "CENTRO MEDICINA PIMARIA DR. PIMENTEL LEBRON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL LEBRON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-842-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "10109",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centro de Terapia Inisia LLC
• Centro Diva, Inc (Centro Diva)
• Centro Interdisciplinario de Salud Mental, C.S.P
• Centro Interdisciplinario Psicoeducativo (Centro de Servicios Psicoeducativos)
• Centro Medicina Familia Hospital Dr Pila
• Centro Medico Policlinicas de Puerto Rico, Inc. (Policlinicas de Ponce)
• Centro Oftalmologico Dr Vazguez Diaz
• Centro Oncologico de la Mujer de Puerto Rico CSP
• Centro Ortopedico Especializado
• Centro Ortopedico Integrado CSP

• 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 Feb 25, 2014; 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.