Pueblo INC
Pharmacy, Community/Retail Pharmacy in San Juan, Puerto Rico
1992123574- Practice location
- 1511 Ave Ponce De Leon, San Juan, PR 00909
- Phone
- 787-725-8112
- Fax
- 787-725-8115
- Last updated
- August 19, 2025
Pueblo INC is a healthcare organization based in San Juan, PR. Pueblo INC practices in San Juan, PR. The NPI Number for Pueblo INC is 1992123574 and holds a License No. 16F3186 (PR). The current practice location address for Pueblo INC is 1511 Ave Ponce De Leon, San Juan, PR 00909 and can be reached out via phone at 787-725-8112 and via fax at 787-725-8115.
Provider Profile Details
- NPI Number
- 1992123574
- Provider Name
- Pueblo INC
- Provider Entity Type
- Organization
- Address
- 1511 Ave Ponce De Leon, San Juan, PR 00909
- Phone Number
- 787-725-8112
- Fax Number
- 787-725-8115
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- Yes
- Parent Organization
- Pueblo INC
- Authorized Official
- Luis M Maldonado-Pena · Vp Finances · 787-757-3131
- Other Names
- Pueblo Pharmacy #984 (Other Name)
Pueblo Pharmacy 984 (Doing Business As) - Provider Enumeration Date
- April 1, 2014
- Last Update Date
- August 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1511 Ave Ponce De Leon
San Juan, PR 00909 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00909
- Phone Number
- 787-725-8112
- Fax Number
- 787-725-8115
Provider Business Mailing Address Details
- Address
- Po Box 1967
Carolina, PR 00984-1967 - City
- Carolina
- State
- PR
- Zip
- 00984-1967
- Phone Number
- 787-757-3131
- Fax Number
- 787-793-8144
License Information
- License Number (1)
- 16F3186
- License State (1)
- PR
- Taxonomy (1)
- Pharmacist · 183500000X
- License Number (2)
- 16F3186
- License State (2)
- PR
- Taxonomy (2)
- Pharmacist, Geriatric · 1835G0303X
- License Number (3)
- 16F3186
- License State (3)
- PR
- Taxonomy (3)
- Pharmacist, Nutrition Support · 1835N1003X
- License Number (4)
- 16F3186
- License State (4)
- PR
- Taxonomy (4)
- Pharmacist, Pharmacotherapy · 1835P1200X
- License Number (5)
- 16F3186
- License State (5)
- PR
- Taxonomy (5)
- Pharmacist, Psychiatric · 1835P1300X
- License Number (6)
- 16F3186
- License State (6)
- PR
- Taxonomy (6)
- Pharmacy Technician · 183700000X
- Taxonomy (7)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Pueblo INC?
The NPI number of Pueblo INC is 1992123574. It was assigned on April 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Pueblo INC?
Pueblo INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in PR under license number 16F3186.
Where does Pueblo INC practice?
The practice location is 1511 Ave Ponce De Leon, San Juan, PR 00909. The office can be reached at 787-725-8112 (phone) or 787-725-8115 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992123574 directly on the NPPES registry website.