NPIMap

Organization Active NPI

Pepino Internal Medicine Group Inc

  • Internal Medicine Physician
  • San Sebastian, PR
National Provider Identifier
1982048955
Registry record updated Jun 3, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16234 Issued in PR
Legal business name
PEPINO INTERNAL MEDICINE GROUP INC
Practice address
3 Jose Mendez Cardona
Centro Medicina Y Cirugia Ambulatoria Suite 202
San Sebastian, PR 00685-9998
Phone
(787) 340-8175
Fax
(787) 926-0507
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Yazmin J Soto Guerrero, MDNPI 1104866482
Title
Owner
Phone
(787) 926-0507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 16234 PR Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20042 PR
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 16234 PR

Addresses

Primary practice location

3 Jose Mendez Cardona
Centro Medicina Y Cirugia Ambulatoria Suite 202
San Sebastian, PR 00685-9998

Mailing address

PO Box 3277
San Sebastian, PR 00685-7005
Phone (787) 926-0507

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1982048955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3277",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857005",
            "telephone_number": "787-926-0507",
            "fax_number": "787-926-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOSE MENDEZ CARDONA",
            "address_2": "CENTRO MEDICINA Y CIRUGIA AMBULATORIA SUITE 202",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006859998",
            "telephone_number": "787-340-8175",
            "fax_number": "787-926-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPINO INTERNAL MEDICINE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "SOTO GUERRERO",
        "authorized_official_first_name": "YAZMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-926-0507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16234",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20042",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "16234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 3, 2015; 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.