Individual provider Active NPI

Jose Ramon Couto-Sepulveda, MD

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1356328736
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6038 Issued in PR
Practice address
863 Campeche St
Ponce, PR 00717
Phone
(787) 840-2125
Fax
(787) 840-2435
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6038 PR Primary

Addresses

Primary practice location

863 Campeche St
Ponce, PR 00717

Mailing address

PO Box 7294
863 Campeche St
Ponce, PR 00732-7294
Phone (787) 840-2125

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
I20060808000209 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810990009 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6038PRMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardionova P.S.C. PastSince Feb 11, 2016 Accepting new patients

Organizations & group practices 1

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356328736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7294",
            "address_2": "863 CAMPECHE ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327294",
            "telephone_number": "787-840-2125",
            "fax_number": "787-840-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 CAMPECHE ST",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-840-2125",
            "fax_number": "787-840-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTO-SEPULVEDA",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.