Individual provider Active NPI

Raymond A Sepulveda, MD

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1396729935
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5023 Issued in PR
Practice address
L4 Calle Clavel
Urb. Parque de Santa Maria
San Juan, PR 00927-6735
Phone
(787) 292-0600
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5023 PR Primary

Addresses

Primary practice location

L4 Calle Clavel
Urb. Parque de Santa Maria
San Juan, PR 00927-6735

Mailing address

L4 Calle Clavel
Urb. Parque de Santa Maria
San Juan, PR 00927-6735
Phone (787) 292-0600

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
I20081120000648 PR Practitioner - Emergency Medicine 9739249731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5023PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jun 13, 2012 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 13, 2012 Accepting new patients
Centro Med Turabo Past Accepting new patients
Hospital Episcopal San Lucas Past Accepting new patients
Recinto de Ciencias Medicas Emergency Medicine Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1396729935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L4 CALLE CLAVEL",
            "address_2": "URB. PARQUE DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276735",
            "telephone_number": "787-292-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "L4 CALLE CLAVEL",
            "address_2": "URB. PARQUE DE SANTA MARIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276735",
            "telephone_number": "787-292-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.