Organization Active NPI

Pepino Health Group Inc

  • Emergency Care Clinic/Center
  • San Sebastian, PR
National Provider Identifier
1699763102
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PEPINO HEALTH GROUP INC
Practice address
126 Calle Pavia Fernandez
San Sebastian, PR 00685-2285
Phone
(787) 280-1335
Fax
(787) 280-1335
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jimmy Olivera
Title
Administrator
Phone
(787) 280-1335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X
Emergency Care Clinic/Center 261QE0002X 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

  • CDT PEPINO HEALTH GROUP INC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1699763102",
    "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": "787-280-1335"
        },
        {
            "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": "787-280-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPINO HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "OLIVERA",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-280-1335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDT PEPINO HEALTH GROUP INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CDT PEPINO HEALTH GROUP INC",
            "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 Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.