Medicina Interna & Geriatria Dra. Vanessa Sepulveda

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

12227 Issued in PR

Legal business name

MEDICINA INTERNA & GERIATRIA DRA. VANESSA SEPULVEDA

Practice address

1122 Calle 56 SE
Suite 1 Reparto Metropolitano
San Juan, PR 00921

Phone

(787) 266-2562

Fax

(787) 266-2562

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Vanessa Sepulveda, MD

Title

Owner

Phone

(787) 266-2562

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Sepulveda Rivera, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Juan, PR
  • NPI 1427199264
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1053868653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360435",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-266-2562",
            "fax_number": "787-266-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CALLE 56 SE",
            "address_2": "SUITE 1 REPARTO METROPOLITANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-266-2562",
            "fax_number": "787-266-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINA INTERNA & GERIATRIA DRA. VANESSA SEPULVEDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-266-2562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medicbus, Inc.
• Medico En Tu Casa
• Medico Xpreso Multi Group LLC
• Medicos de Familia Imf, CSP
• Medicos Especializados de Puerto Rico, PSC
• Medicos Especializados de San Juan

• Geriatric Medicine (Internal Medicine) Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.