MEDICARE: AYLIN ADILENE PIMENTEL

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1386585057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYLIN ADILENE PIMENTEL

Provider Business Mailing Address
First Line	:	136 ANITA CIR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-3042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1351 N ZARAGOZA RD BLDG H
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7902
Country	:	US
Telephone Number	:	915-257-5782
Fax Number	:

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

Provider Enumeration Date	:	04/04/2026
Last Update Date	:	04/04/2026

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Directions to “ AYLIN ADILENE PIMENTEL ” Practice Location

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