Individual provider Active NPI

Gabriel Rivera Sepulveda, M.D.

  • General Practice Physician
  • San German, PR
National Provider Identifier
1225260805
Registry record updated Jun 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17703 Issued in PR
Practice address
Car #2 KM 167.2 Bo. Duey Bajo Sector Nazario
San German, PR 00683
Phone
(787) 951-4442
NPI assigned
Aug 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17703 PR Primary

Addresses

Primary practice location

Car #2 KM 167.2 Bo. Duey Bajo Sector Nazario
San German, PR 00683

Mailing address

PO Box 2088
San German, PR 00683-2088
Phone (787) 951-4442

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
I20120315000777 PR Practitioner - General PracticePractitioner - Hospice/Palliative CarePractitioner - Addiction Medicine 4284893967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Addiction Medicine, Hospice/Palliative Care
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Yaguez IncGroup PAC ID 9830175033, 7 clinicians

Practice addresses (Care Compare)

117 Calle Ramon Valdes
Mayaguez, PR 00680-3839
Phone 7878328445260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MM Health Services, LLC. CurrentSince May 11, 2025 Accepting new patients
MM Health Services LLC General Practice CurrentSince May 11, 2025 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Dec 11, 2017 Accepting new patients
Clinica Yaguez, Inc CurrentSince Dec 11, 2017 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276300800000",
    "number": "1225260805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006832088",
            "telephone_number": "787-951-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR #2 KM 167.2 BO. DUEY BAJO SECTOR NAZARIO",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-951-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SEPULVEDA",
        "first_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2010-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.