Organization
CENTRO MEDICINA PIMARIA DR. PIMENTEL LEBRON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL O PIMENTEL LEBRON MD (PRESIDENT)
(787) 842-0062
Entity
Organization
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
—
10109
MEDICAL LICENSE NUMBER
PR
Enumeration date
02/25/2014
Last updated
02/25/2014
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