Organization Active NPI

Pueblo Inc

  • Community/Retail Pharmacy
  • Guaynabo, PR
National Provider Identifier
1831666437
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PUEBLO INC
Practice address
Alturas de Torrimar
Ave Santa Ana Esq Calle 2
Guaynabo, PR 00966
Phone
(787) 790-1196
Fax
(787) 272-3776
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Luis M. Maldonado, CPA
Title
VP Finance
Phone
(787) 757-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

Alturas de Torrimar
Ave Santa Ana Esq Calle 2
Guaynabo, PR 00966

Mailing address

PO Box 1967
Carolina, PR 00984-1967
Phone (787) 757-3131

National Provider Directory

National Provider Directory
Tax ID family
Pueblo Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1831666437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1967",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841967",
            "telephone_number": "787-757-3131",
            "fax_number": "787-793-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTURAS DE TORRIMAR",
            "address_2": "AVE SANTA ANA ESQ CALLE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-790-1196",
            "fax_number": "787-272-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "787-757-3131",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.