Individual provider Active NPI

Livette Milan-Sepulveda, M.D.

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1396828943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12261 Issued in PR
Practice address
Torre Auxilio Mutuo, Suite 614
735 Ponce de Leon Ave.
San Juan, PR 00919-1227
Phone
(787) 294-0113
Fax
(787) 751-4417
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12261 PR Primary

Addresses

Primary practice location

Torre Auxilio Mutuo, Suite 614
735 Ponce de Leon Ave.
San Juan, PR 00919-1227

Mailing address

409 Calle Reina Isabel
La Villa de Torrimar
Guaynabo, PR 00969-3342
Phone (787) 294-0113

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
I20050407000983 PR Practitioner - Obstetrics/Gynecology 5890742126 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Arterial Hostos Ave
239 Capital Center BLDG Suite 601
San Juan, PR 00918-1476

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean GYN Care Center Obstetrics & Gynecology Past 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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396828943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CALLE REINA ISABEL",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693342",
            "telephone_number": "787-294-0113",
            "fax_number": "787-751-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO, SUITE 614",
            "address_2": "735 PONCE DE LEON AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191227",
            "telephone_number": "787-294-0113",
            "fax_number": "787-751-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAN-SEPULVEDA",
        "first_name": "LIVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.