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NPI Code Detail

MEDICARE: PEPINO INTERNAL MEDICINE GROUP INC

MEDICARE: PEPINO INTERNAL MEDICINE GROUP INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician20042PR
2208M00000XHospitalist Physician16234PR
3207R00000XInternal Medicine Physician16234PR

General Provider Information

NPI Number : 1982048955
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEPINO INTERNAL MEDICINE GROUP INC
Provider Business Mailing Address
First Line : PO BOX 3277
Second Line :
City : SAN SEBASTIAN
State : PR
Zip : 00685-7005
Country : US
Telephone Number : 787-926-0507
Fax Number : 787-926-0507
Provider Business Practice Location Address
First Line : 3 JOSE MENDEZ CARDONA
Second Line : CENTRO MEDICINA Y CIRUGIA AMBULATORIA SUITE 202
City : SAN SEBASTIAN
State : PR
Zip : 00685-9998
Country : US
Telephone Number : 787-340-8175
Fax Number : 787-926-0507
Authorized Official
Title or Position : OWNER
Name : DR. YAZMIN J SOTO GUERRERO
Credential : MD
Telephone Number : 787-926-0507
Provider Enumeration Date : 04/22/2013
Last Update Date : 06/03/2015

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Directions to “PEPINO INTERNAL MEDICINE GROUP INC ” Practice Location

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