Individual
MANUEL O PIMENTEL - LEBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CALLE BERTOLY, PONCE, PR 00730-3758
(787) 842-0062
(787) 284-1397
Mailing address
PO BOX 33385, PONCE, PR 00733-0385
(787) 842-0062
(787) 284-1397
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10109
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063633
PROVIDER # CRUZ AZUL DE P
PR
01
—
110109
PROVIDER # CIGNA OF PR
PR
01
—
200038
PROVIDER # MMM HEALTHCARE
PR
01
—
7330091
PROVIDER # HUMANA GOLD PL
PR
01
—
82341
PROVIDER # TRIPLE S PR
PR
Enumeration date
08/05/2006
Last updated
07/09/2007
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