Provider Demographics
NPI:1467753871
Name:DR. ELEONOR PIMENTEL MD PA
Entity Type:Organization
Organization Name:DR. ELEONOR PIMENTEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELEONOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-445-0700
Mailing Address - Street 1:PO BOX 141218
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-1218
Mailing Address - Country:US
Mailing Address - Phone:305-445-0700
Mailing Address - Fax:305-447-1638
Practice Address - Street 1:747 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 408
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2049
Practice Address - Country:US
Practice Address - Phone:305-445-0700
Practice Address - Fax:305-447-1638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0049570261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care