Josean Sepulveda, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23019 Issued in PR

Practice address

355 Calle Font Martelo
Humacao, PR 00791-3249

Phone

(787) 852-0768

NPI assigned

Oct 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1043818321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE C-G-10",
            "address_2": "URB. EL ROSARIO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-975-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ave Luis Munoz Marin",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007256184",
            "country_code": "US",
            "telephone_number": "787-653-1750",
            "fax_number": "787-961-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "JOSEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana Sepulveda Montes, PSYD
• Sepulveda Psychological Clinic LLC
• Coralys Milagros Sepulveda Rivera, RDN
• Ramon Sepulveda-Abreu, M.D.
• Carmen I Sepulveda, PSYD
• Lillian M Sepulveda, RPH
• Serafina Obstetricia Y Ginecologia LLC
• Lillian Teresa Serrano Garcia, M.D. PSYCHIATRIST
• Lourdes Janette Serrano Rivera, PHARNACY TEC
• Adeline Serrano, PSYD

• General Practice Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.