Look up the most recent NPI and PECOS records

Agustin Pimentel

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Agustin Pimentel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1740498146
Provider Type
Individual
Full Name
Pimentel, Agustin
Gender
Male

Sole Proprietor
No
Enumeration Date
5/18/2007
Last Updated
10/23/2013

Contact Information

Practice Location

1475 NW 12th Ave, Miami, FL 33136-1002

(305) 243-1000

Unlisted Fax

Mailing Location

1475 NW 12th Ave, Miami, FL 33136-1002

(305) 243-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME107167 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD437454 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID MD437454	Description Other	Issuer PA LICENSEMD Pennsylvania

Agustin Pimentel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Patel, Sayari

Garcia, Miraida Renee

Scheinberg, Andrew Ross

Harlamova, Oxana

Corredera, Erica

St Onge, Joan Elizabeth

Khazai, Bahram

Bowen, Mikayla

Matos, John

Izquierdo Pretel, Guillermo