MR. JUAN ENO PIMENTEL SR.


Address: 3450 Palencia Dr Apt 2008, Tampa, FL 33618-1857
Phone: 8132037174

MR. JUAN ENO PIMENTEL SR. (NPI# 1114384906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114384906
Entity Type Individual
Full Name MR. JUAN ENO PIMENTEL SR.
Credential LCPC
Practice Address 3450 Palencia Dr Apt 2008
Tampa
FL 33618-1857
Practice Telephone 8132037174
Mailing Telephone 8132037174
Enumeration Date 2016-01-25
Last Update Date 2016-01-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Other Providers JUAN PIMENTEL

NPI Name Taxonomy Address Enumeration
1427439728 Juan Sebastian Pimentel Student in an Organized Health Care Education/Training Program 230 E Ridgewood Ave, Paramus, NJ 07652-4142 2015-06-11
1619926979 Juan Cesar Pimentel Internal Medicine 1010 Paseo Del Veterano, Ponce, PR 00716-2001 2006-05-06
1215923149 Juan Luis Pimentel Jr. Internal Medicine 5255 Snapfinger Park Dr, Suite 110, Decatur, GA 30035-4084 2005-09-26

Office Location

Street Address 3450 PALENCIA DR APT 2008
City TAMPA
State FL
Zip Code 33618-1857

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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1326390329 Jissenia Perez Psychologist 14008 Saulk Ct Apt 137, Tampa, FL 33613-3943 2012-10-15
1639424930 Sheriece Sadberry Psychologist 6922 W Linebaugh Ave Ste 101c, Tampa, FL 33625 2012-07-23
1841526605 Martha Wrenn Putney Psychologist 7958 Terrace Ridge Dr, Tampa, FL 33637-3000 2009-10-28
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Competitor

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City TAMPA
Zip Code 33618

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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