Active NPI
Lourdes V Sepulveda Padilla, M.D.
- Specialist
- Ponce, PR
National Provider Identifier
1457468043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13345
- Practice address
- 8133 Calle Concordia
Suite 202
Ponce, PR 00717-1543 - Phone
- (787) 843-1700
- Fax
- (787) 842-0900
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13345 | PR | Primary |
| Family Medicine Physician | 207Q00000X | 13345 | PR |
Addresses
Primary practice location
8133 Calle Concordia
Suite 202
Ponce, PR 00717-1543
Mailing address
PO Box 335038
Ponce, PR 00733-5038
Phone (787) 843-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13345 | Other | PR | STATE LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1457468043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 335038",
"city": "PONCE",
"state": "PR",
"postal_code": "007335038",
"telephone_number": "787-843-1700",
"fax_number": "787-842-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8133 CALLE CONCORDIA",
"address_2": "SUITE 202",
"city": "PONCE",
"state": "PR",
"postal_code": "007171543",
"telephone_number": "787-843-1700",
"fax_number": "787-842-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA PADILLA",
"first_name": "LOURDES",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "13345",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "13345",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "13345",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.