Individual
AGUSTIN PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-1000
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD437454
PA
207R00000X
Internal Medicine Physician
Primary
ME107167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD437454
PA LICENSEMD
PA
Enumeration date
05/18/2007
Last updated
10/23/2013
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