Individual provider Active NPI

Cristina Isabel Sepulveda Alamo, M.D.

  • Pain Medicine Physician
  • San Juan, PR
National Provider Identifier
1396037362
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
19013 Issued in PR
Practice address
10 Calle Casia
San Juan, PR 00921-3200
Phone
(787) 641-7582
Fax
(787) 641-5716
NPI assigned
May 10, 2011
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 19013 PR Primary

Addresses

Primary practice location

10 Calle Casia
San Juan, PR 00921-3200

Mailing address

94 Ramal 842 Apt 116
San Juan, PR 00926-3907
Phone (787) 852-6101

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
I20150915001426 PR Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 9931412244 Reassigns benefits to 4 organizations
Practice locations: Humacao, PR; Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 Ave Las Lomas Carr
21 Torre Hospital Metropolitano Suite 401
San Juan, PR 00922-3399

5 -3 Calle 8 Bioque
Carolina, PR 00983
Phone (787) 400-0102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico de Bayamon PTR Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients
Grupo Fisiatrico Torre Auxilio Mutuo Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients
Centro de Terapia F de Naranjito Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients
Centro de Rehabilitacion Y Medicina del Deporte Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients

Locations

66 Calle Santa Cruz
Ste 301
Bayamon, PR 00961
Phone (787) 740-2270

B1 Calle Santa Cruz
Ste 406
Bayamon, PR 00961
Phone (787) 740-2270

73 Calle Georgetti
Naranjito, PR 00719
Phone (787) 365-8596

735 Ave Ponce de Leon
Ste 417
San Juan, PR 00917
Phone (787) 296-3081

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, 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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1396037362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RAMAL 842 APT 116",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263907",
            "telephone_number": "787-852-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE CASIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213200",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA ALAMO",
        "first_name": "CRISTINA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PR",
            "license": "19013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.