MEDICARE: DR. RAMON R PIMENTEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	212292-1	NY
2	207R00000X	Internal Medicine Physician	212292-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033147426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON R PIMENTEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 29046
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-9046
Country	:	US
Telephone Number	:	718-803-7300
Fax Number	:	718-478-5198

Provider Business Practice Location Address
First Line	:	3744 75TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6444
Country	:	US
Telephone Number	:	718-803-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	03/14/2024

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