Provider Demographics
NPI:1578876181
Name:PIMENTEL, DENISE D (MSED)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:D
Last Name:PIMENTEL
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13510 SW 182ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7126
Mailing Address - Country:US
Mailing Address - Phone:646-342-7507
Mailing Address - Fax:
Practice Address - Street 1:13510 SW 182ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-7126
Practice Address - Country:US
Practice Address - Phone:646-342-7507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-24
Last Update Date:2010-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No252Y00000XAgenciesEarly Intervention Provider Agency