PUEBLO INC - NPI 1992123574 - Pharmacy in San Juan, PR

Q: 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.

Q: What is Pueblo Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pueblo Inc was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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.

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

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

DORIS MARGARITA PENA

Pharmacist