NPIMap

Individual provider Active NPI

Vanessa Sepulveda Rivera, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Juan, PR
National Provider Identifier
1427199264
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
12227 Issued in PR
Practice address
1122 Calle 56 SE
San Juan, PR 00921-2727
Phone
(787) 266-2562
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 12227 PR Primary

Addresses

Primary practice location

1122 Calle 56 SE
San Juan, PR 00921-2727

Mailing address

PO Box 367850
San Juan, PR 00936-7850
Phone (787) 412-3836

Other practice location 1

12 Calle Bien Te Veo
Urb Montehiedra
San Juan, PR 00926-9533
Phone (787) 899-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121127000512 PR Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6507017472 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

Hospital & facility affiliations

  • Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061
  • Hospital Upr, Dr Federico Trilla Hospital, Carolina, PR, CCN 400112
  • Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Oct 14, 2021 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jan 25, 1998 Accepting new patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Jan 25, 1998 Accepting new patients
Servicios Medicos Universitarios Inc Internal Medicine Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients
Medicina Interna & Geriatria Dra. Vanessa Sepulveda Geriatric Medicine Past Accepting new patients

Locations

BO Monacillos Ctro Medico
San Juan, PR 00935

Organizations & group practices 6

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 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427199264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367850",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367850",
            "telephone_number": "787-412-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CALLE 56 SE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212727",
            "telephone_number": "787-266-2562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Calle Bien Te Veo",
            "address_2": "URB MONTEHIEDRA",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009269533",
            "country_code": "US",
            "telephone_number": "787-899-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA RIVERA",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.