Provider Demographics
NPI:1225913536
Name:DR. MANUEL PIMENTEL LEBRON LLC
Entity type:Organization
Organization Name:DR. MANUEL PIMENTEL LEBRON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-842-0062
Mailing Address - Street 1:URB. MERCEDITA
Mailing Address - Street 2:CALLE BONITA 1373
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-842-0062
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE BERTOLY
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3758
Practice Address - Country:US
Practice Address - Phone:787-842-0062
Practice Address - Fax:787-842-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty