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PUEBLO INC
NPI 1992123574
Pharmacy - Community/Retail Pharmacy in San Juan, PR

Active since April 01, 2014
1511 AVE PONCE DE LEON, SAN JUAN, PR 00909(787) 725-8112(787) 725-8115 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pueblo Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUEBLO INC (NPI 1992123574), doing business as Pueblo Pharmacy 984, is a healthcare organization registered as a community/retail pharmacy in San Juan, Puerto Rico and active in the NPI registry since April 2014. The organization lists Luis M Maldonado-pena, Vp Finances, as its authorized official.

NPPES Registry Identity

NPI1992123574
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUEBLO INC
Location Address1511 AVE PONCE DE LEONSan Juan, PR 00909
Mailing AddressPo Box 1967Carolina, PR 00984-1967 · (787) 757-3131 · Fax (787) 793-8144
Phone(787) 725-8112
Fax(787) 725-8115
Organization SubpartYes
Authorized OfficialLuis M Maldonado-penaVp Finances · (787) 757-3131
Enumeration DateApril 1, 2014
Last NPPES UpdateAugust 19, 2025
✔ NPI 1992123574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacistTaxonomy 183500000X · License 16F3186 (PR)
Also ListedPharmacist · GeriatricTaxonomy 1835G0303X · License 16F3186 (PR)
Also ListedPharmacist · Nutrition SupportTaxonomy 1835N1003X · License 16F3186 (PR)
Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X · License 16F3186 (PR)
Also ListedPharmacist · PsychiatricTaxonomy 1835P1300X · License 16F3186 (PR)
Also ListedPharmacy TechnicianTaxonomy 183700000X · License 16F3186 (PR)

Other Names 2

Doing Business AsPueblo Pharmacy 984
Other NamePueblo Pharmacy #984

Other Identifiers 1

Medicaid038204500PR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTHA IVETT KYRIACOU M.D.
Family Medicine
1511 AVE PONCE DE LEON
SAN JUAN, PR 00909
San Juan Municipio (787) 339-2639
JOSE ANTONIO PACHECO SUAREZ M.D.
Radiology (Diagnostic Radiology)
1511 AVE PONCE DE LEON, APT 176
SAN JUAN, PR 00909
San Juan Municipio (952) 595-1100
TELESALUD BORICUA LLC
Clinic/Center (Multi-Specialty)
1511 AVE PONCE DE LEON
SAN JUAN, PR 00909
San Juan Municipio (787) 645-1075
SARIHANA ORTIZ DE LEON PSYD
Psychologist (Clinical)
1511 AVE PONCE DE LEON
SAN JUAN, PR 00909
San Juan Municipio (787) 628-3958
DORIS MARGARITA PENA
Pharmacist
1511 AVE PONCE DE LEON
SAN JUAN, PR 00909
San Juan Municipio (787) 725-8102
MR. LUIS ENRIQUE ROMAN MD MHSA
Family Medicine
1511 AVE PONCE DE LEON
SAN JUAN, PR 00909
San Juan Municipio (787) 645-1075
CARLA ROSSOTTI VAZQUEZ,MD,PSC
General Practice
1511 AVE PONCE DE LEON, TORRE PLAZA SAN MATEO 500 APT 521
SAN JUAN, PR 00909
San Juan Municipio (787) 242-7306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pueblo Inc's NPI number?

The NPI number for Pueblo Inc is 1992123574. It was assigned to this organization in the NPPES registry on April 1, 2014. The provider is doing business as Pueblo Pharmacy 984. The provider is also known as Pueblo Pharmacy #984.

Where is Pueblo Inc located?

Pueblo Inc is located at 1511 Ave Ponce De Leon, San Juan, PR 00909. The listed phone number is (787) 725-8112.

What is Pueblo Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Pueblo Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Pueblo Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pueblo Inc was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.