Provider Demographics
NPI:1720292741
Name:RODRIGUEZ PIMENTEL, ARIEL ENRIQUE (MD)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:ENRIQUE
Last Name:RODRIGUEZ PIMENTEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 NW 70TH AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-249-3950
Mailing Address - Fax:888-805-8627
Practice Address - Street 1:201 NW 70TH AVE
Practice Address - Street 2:SUITE C
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-3331
Practice Address - Country:US
Practice Address - Phone:954-249-3950
Practice Address - Fax:888-805-8627
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106475208600000X
FLME111449208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery