Active NPI
Pepino Health Group Inc
- Clinical Medical Laboratory
- San Sebastian, PR
National Provider Identifier
1538183074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 95
- Legal business name
- PEPINO HEALTH GROUP INC
- Practice address
- 126 Calle Pavia Fernandez
San Sebastian, PR 00685-2285 - Phone
- (787) 280-1335
- Fax
- (787) 896-0709
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan S Robles, MD.
- Title
- Board President
- Phone
- (787) 280-1335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 95 | PR | Primary |
Addresses
Primary practice location
126 Calle Pavia Fernandez
San Sebastian, PR 00685-2285
Mailing address
PO Box 1537
San Sebastian, PR 00685-1537
Phone (787) 280-1335
Other names 1
- LABORATORIO PEPINO HEALTH GROUP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041223000258 | PR | Part B Supplier - Independent Clinical Laboratory | 9830157759 | Practice locations: San Sebastian, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Centro Vacunacion Pepino Health Group
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- San Sebastian, PR
- NPI 1730305889
-
- Pharmacy
- San Sebastian, PR
- NPI 1760578561
-
- Mammography Clinic/Center
- San Sebastian, PR
- NPI 1831315746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1538183074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1537",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006851537",
"telephone_number": "787-280-1335",
"fax_number": "787-896-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 CALLE PAVIA FERNANDEZ",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852285",
"telephone_number": "787-280-1335",
"fax_number": "787-896-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEPINO HEALTH GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "ROBLES",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BOARD PRESIDENT",
"authorized_official_telephone_number": "787-280-1335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "95",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO PEPINO HEALTH GROUP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Sebastian, PR
- Stephanie Nicole Pagan
- Elizabeth Marie Palleja, OT
- Miguel Pastrana Laborde, DMD
- Pearle Vision Center of Puerto Rico, Inc
- Maribel Pena-Feliciano, BSN,RN
- Pepino Health Group Inc
- Pepino Internal Medicine Group Inc
- Hector Juan Perez Feliciano, M.D
- Christian Perez Gonzalez, CPL, TMF
- Karen Perez Hernandez, P.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.