Individual provider Active NPI

Eva E Sepulveda, DC, RD

  • Thermography Chiropractor
  • Caguas, PR
National Provider Identifier
1205166444
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
License
31358 Issued in CA
Practice address
Luis Munoz Marin Ave
Urb Mariolga R-9
Caguas, PR 00725
Phone
(619) 252-4572
NPI assigned
Jan 11, 2010
Last updated
Jun 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 472 PR
Thermography Chiropractor 111NT0100X 31358 CA Primary
Registered Dietitian 133V00000X 877623 CA

Addresses

Primary practice location

Luis Munoz Marin Ave
Urb Mariolga R-9
Caguas, PR 00725

Mailing address

Ave Luis Munoz Marin
Urb Mariolga R-9
Caguas, PR 00725
Phone (619) 252-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000791 PR Practitioner - Chiropractic 3173798998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

R9 Ave Luis Munoz Marin
Caguas, PR 00725-6461
Phone (787) 961-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
877623CAMDRegistered Dietitian
472PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Vida Quiropractica CSP Chiropractor CurrentSince Oct 15, 2011 Accepting new patients
CVQ LLC CurrentSince Jul 18, 2023 Accepting new patients

Locations

R9 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 961-5656

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1205166444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN",
            "address_2": "URB MARIOLGA R-9",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "619-252-4572",
            "fax_number": "787-961-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ MARIN AVE",
            "address_2": "URB MARIOLGA R-9",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "619-252-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "EVA",
        "middle_name": "E",
        "credential": "DC, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "472",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "CA",
            "license": "31358",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "877623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.