Provider Demographics
NPI:1447485503
Name:JORGE F PIMIENTA MD INC
Entity type:Organization
Organization Name:JORGE F PIMIENTA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PIMIENTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-554-7575
Mailing Address - Street 1:1421 SW 107TH AVE
Mailing Address - Street 2:#147
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2526
Mailing Address - Country:US
Mailing Address - Phone:305-554-7575
Mailing Address - Fax:305-554-9499
Practice Address - Street 1:11760 SW 40 STREET (BIRD ROAD)
Practice Address - Street 2:SUITE 542
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-554-7575
Practice Address - Fax:305-554-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty