Ismael Sepulveda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5854 Issued in PR

Practice address

392 Calle Post S
Mayaguez, PR 00680-1700

Phone

(787) 805-2900

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Migrant Health Center Western Region,Inc

  • Federally Qualified Health Center (FQHC)
  • Mayaguez, PR
  • NPI 1609969286
  Medicare reassignment
• Migrant Health Center Western Region, Inc.

  • Radiology Clinic/Center
  • Las Marias, PR
  • NPI 1508453051
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1043364227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 CALLE ALMIRANTE",
            "address_2": "ALTURAS DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826239",
            "telephone_number": "787-265-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 CALLE POST S",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801700",
            "telephone_number": "787-805-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "ISMAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Isabel Segarra, DR
• Jose Antonio Segui
• Luisa Rosario Seijo, MASW
• Carmen Teresa Sepulveda Laboy, RN
• Omayra Sepulveda Rodriguez I, M.D.
• Jennifer Serrano Pagan, PHARM D.
• Rigal Coralys Serrano Torres
• Alicia Serrano, RN
• Griselle Serrano, OT
• Servicio Deanestesia Y Manejo del Dolor San Antonio

• Family Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.