Organization Name: | PEPINO HEALTH GROUP INC |
NPI Number: | 1699763102 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUAN S ROBLES (PRESIDENT) |
Mailing Address: | 120 Calle Pavia Fernandez San Sebastian |
State: | PR US |
Postal Code: | 006852285 |
Phone Number: | 7872801335 |
Fax Number: | 7872801335 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |