Healthcare Provider Details

I. General information

NPI: 1720292741
Provider Name (Legal Business Name): ARIEL ENRIQUE RODRIGUEZ PIMENTEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 LINTON BLVD STE 310
DELRAY BEACH FL
33445-6600
US

IV. Provider business mailing address

4600 LINTON BLVD STE 310
DELRAY BEACH FL
33445-6600
US

V. Phone/Fax

Practice location:
  • Phone: 772-262-4233
  • Fax: 402-207-4062
Mailing address:
  • Phone: 772-262-4233
  • Fax: 402-207-4062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA106475
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME111449
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: