Individual provider Active NPI

Ruben Sepulveda Rivas, M.D.

  • General Practice Physician
  • Yabucoa, PR
National Provider Identifier
1568589273
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12423 Issued in PR
Practice address
8 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3517
Phone
(787) 893-3411
Fax
(787) 893-7947
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12423 PR Primary

Addresses

Primary practice location

8 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3517

Mailing address

PO Box 2050
Yabucoa, PR 00767-2050
Phone (787) 893-3411

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
I20120402000312 PR Practitioner - General Practice 7315107166 Practice locations: Yabucoa, PR

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1568589273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2050",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007672050",
            "telephone_number": "787-893-3411",
            "fax_number": "787-893-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE SATURNINO RODRIGUEZ",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673517",
            "telephone_number": "787-893-3411",
            "fax_number": "787-893-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA RIVAS",
        "first_name": "RUBEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

Verify at the official NPI Registry.