Individual provider Active NPI

Rafael Rodriguez Sepulveda, M.D.

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1083750251
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
5080 Issued in PR
Practice address
Hospital del Maestro
Department of Anesthesiology
San Juan, PR 00918
Phone
(787) 765-5479
Fax
(787) 753-8701
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 5080 PR Primary

Addresses

Primary practice location

Hospital del Maestro
Department of Anesthesiology
San Juan, PR 00918

Mailing address

PO Box 366257
San Juan, PR 00936-6257
Phone (787) 765-5479

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060131000461 PR Practitioner - Anesthesiology 6204840135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GRH Anesthesia Group, PSCGroup PAC ID 9234179029, 10 clinicians

Practice addresses (Care Compare)

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Ofic 704
San Juan, PR 00917-5029

Cont Torre Auxilio Mutuo Ofc
704 735 Ave Ponce de Leon
San Juan, PR 00917-5029

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5080PRMDHematology Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
GRH Anesthesia Group, PSC Anesthesiology CurrentSince Oct 6, 2013 Accepting new patients
RCP Anesthesia PSC Anesthesiology Past Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 704
San Juan, PR 00917
Phone (787) 379-6786

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1083750251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366257",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366257",
            "telephone_number": "787-765-5479",
            "fax_number": "787-753-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL DEL MAESTRO",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-765-5479",
            "fax_number": "787-753-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SEPULVEDA",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.