Dr Domingo Sepulveda CSP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4295 Issued in PR

Legal business name

DR DOMINGO SEPULVEDA CSP

Practice address

Ave Luis Manor Marin Hospital Hima
Suite 115
Caguas, PR 00725

Phone

(787) 743-3003

Fax

(787) 743-9290

NPI assigned

Feb 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Domingo Sepulveda Sr., MD

Title

Pediatrictain

Phone

(787) 743-3003

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013989987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6419",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007766419",
            "telephone_number": "787-743-3003",
            "fax_number": "787-743-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MANOR MARIN HOSPITAL HIMA",
            "address_2": "SUITE 115",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-3003",
            "fax_number": "787-743-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOMINGO SEPULVEDA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "PEDIATRICTAIN",
        "authorized_official_telephone_number": "787-743-3003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.