PUEBLO INC (NPI# 1992123574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992123574 |
| Entity Type | Organization |
| Organization Name | PUEBLO INC |
| Other Organization Name | PUEBLO PHARMACY #984 |
| Practice Address |
1511 Ave Ponce De Leon Santurce San Juan PR 00909-5001 |
| Mailing Address |
Po Box 1967 Carolina PR 00984-1967 |
| Practice Telephone | 7877258112 |
| Practice Fax Number | 7877258115 |
| Mailing Telephone | 7877573131 |
| Mailing Fax Number | 7877938144 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MRS. MACBETH RAMOS (PHARMACY MANAGER) |
| Authorized Official Telephone | 7872318547 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
16F3186 | PR | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
16F3186 | PR | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
16F3186 | PR | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
16F3186 | PR | Pharmacy Service Providers |
| N | 183700000X | Pharmacy Technician | 16F3186 | PR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 16F3186 | PR | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Pueblo Pharmacy #984 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831666437 | Pueblo Inc | Pharmacy | Alturas De Torrimar, Ave Santa Ana Esq Calle 2, Guaynabo, PR 00966 | 2018-11-01 |
| 1184146219 | Pueblo Inc | Pharmacy | 652 Ave Munoz Rivera Ste 200, San Juan, PR 00918-4257 | 2017-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pueblo Incense House of Prayer Inc | 433 Westwood Ln., Pueblo, CO 81005 |
| Street Address |
1511 AVE PONCE DE LEON SANTURCE |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457538159 | Jose Antonio Pacheco Suarez | Radiology | 1511 Ave Ponce De Leon, Apt 176, San Juan, PR 00909-5001 | 2008-01-24 |
| 1740894435 | Doris Margarita Pena | Pharmacist | 1511 Ave Ponce De Leon, San Juan, PR 00909-5001 | 2020-09-01 |
| 1437685831 | Martha Ivett Kyriacou | Family Medicine | 1511 Ave Ponce De Leon, San Juan, PR 00909-5001 | 2017-05-04 |
| 1932531480 | Carla Rossotti Vazquez,md,psc | General Practice | 1511 Ave Ponce De Leon, Torre Plaza San Mateo 500 Apt 521, San Juan, PR 00909-5001 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1992322861 | Arlene Nieves | Pharmacist | 200 Ave Jesus T Pinero Apt 21o, San Juan, PR 00918-4167 | 2020-06-26 |
| 1770104077 | Eduardo Javier Vega Jimenez | Pharmacist | 65 Infantery, San Juan, PR 00925 | 2020-04-28 |
| 1598384802 | Maria Providencia Sein | Pharmacist | 224 Ave Manuel Domenech, San Juan, PR 00918-3559 | 2020-04-16 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1790311892 | Roberto Casanova | Pharmacist | Venus Gardens Plaza Suite 16, Ave Acuario 19, San Juan, PR 00926 | 2020-03-20 |
| 1053946517 | Anais Marie Tirado Perez | Pharmacist | 65th Infanteria Shopping Center Suite 101, San Juan, PR 00926 | 2020-03-05 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1154954170 | Carlos Manuel Leon Ruiz | Pharmacist | 400 Ave Luis Munoz Rivera, San Juan, PR 00918-3310 | 2020-02-18 |
| 1548892375 | Natalia Cristina Nieves Caro | Pharmacist | 425 Munoz Rivera, San Juan, PR 00918-3112 | 2020-02-10 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.