Luis Gabriel Sepulveda-Maldonado, M.D.

Key facts

NPI: 1598029381
Entity type: Individual (NPI type 1)
Primary specialty: Hematology & Oncology Physician 207RH0003X
License: 21295 (PR)
Practice address: Edificio Michelle Plaza
Suite 101 Villa Flores
Ponce, PR 00603
Phone: (787) 449-1995
NPI assigned: Jun 27, 2012
Sex: Male
Sole proprietor: Yes

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.

Caribbean Cancer Care Services, LLC Medical Oncology Physician · Ponce, PR · NPI 1679900567

Medicare reassignment Care Compare group NPD HEMATOLOGY & ONCOLOGY · PR

Hospital & facility affiliations 1

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

Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc. Community Based Hospice Care Agency · Ponce, PR · NPI 1841925161

Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty: Hematology
Also: Internal Medicine
Education: Other, 2008
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Caribbean Cancer Care Services LLC (6 clinicians)

Practice addresses (Care Compare)

Anejo CDR Pepino Health Group 120
San Sebastian, PR 00685-2285
Phone (787) 229-6626

Calle Prolongacion 25 de Julio
Yauco, PR 00698-3508
Phone (787) 992-7209

Carr 111 KM 0
Aguadilla, PR 00603-4802
Phone (939) 319-2227

Carr 2 KM 93
Flamingo Plaza
Camuy, PR 00627-2919
Phone (939) 544-5633

Hospital & facility affiliations

Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice · Ponce, PR · CCN 401530

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200728000380	PR	Practitioner - Hematology Practitioner - Internal Medicine	8325399587	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Caribbean Cancer Care Services, LLC	Hematology & Oncology	Current since Jun 29, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Hematology & Oncology Physician	207RH0003X	21295	PR	Yes

Addresses

Primary practice location

Edificio Michelle Plaza
Suite 101 Villa Flores
Ponce, PR 00603

Mailing address

Carr 111 KM 0.1 Aguadilla, Puerto Rico
Aguadilla, PR 00603
Phone (939) 319-2227

Other providers in Ponce, PR

All providers in Ponce, PR · Hematology & Oncology Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.