Nydia I. Sepulveda-Pagan II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15427 Issued in PR

Practice address

Carr 135 KM 70.2
Bo. Yahuecas
Adjuntas, PR 00601-9711

Phone

(787) 829-0824

Fax

(787) 597-6372

NPI assigned

Mar 31, 2006

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corporacion Servicios Medicos Primarios Y Prevencion de Hatillo

  • Federally Qualified Health Center (FQHC)
  • Hatillo, PR
  • NPI 1306877279

  Family Medicine

  Medicare reassignment NPD
• Corporacion de Servicios Medicos Primarios Y Prevencion de Hatillo

  • Community/Retail Pharmacy
  • Hatillo, PR
  • NPI 1659406015
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1376504993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 135 KM. 70.2",
            "address_2": "BO. YAHUECAS",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006019711",
            "telephone_number": "787-829-0824",
            "fax_number": "787-597-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 135 KM 70.2",
            "address_2": "BO. YAHUECAS",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006019711",
            "telephone_number": "787-829-0824",
            "fax_number": "787-597-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA-PAGAN",
        "first_name": "NYDIA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "15427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge G Ruiz Coimbre, MD
• Jorge E Ruiz Diaz, M.D.
• Luis E. Saliceti, PSY.D.
• Saluvista LLC
• Diomedes Santiago
• Servicios de Salud En El Hogar El Gigante, Inc. (Cuidado Casero El Gigante)
• Servicios Medicos Dr. Antonio Declet, Inc
• Servicios Medicos Ecs LLC
• Servicios Psicosociales Integrados Renacer
• Lizmari Torres Olan

• Family Medicine Physician in Adjuntas, PR
• Providers in Adjuntas, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.