Organization Active NPI

Pepino Health Group Inc

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1538183074
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
95 Issued in PR
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

Updated by the provider on Nov 29, 2007

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.