Walter I Sepulveda, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1971 Issued in PR

Practice address

401 Ave Jose de Diego
Arecibo, PR 00612-4344

Phone

(787) 878-0381

Fax

(787) 878-0381

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598725947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142577",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142577",
            "telephone_number": "787-878-0381",
            "fax_number": "787-878-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 AVE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124344",
            "telephone_number": "787-878-0381",
            "fax_number": "787-878-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "WALTER",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Zoraida Sein, MD
• Bryan Omar Sepulveda Bahamundi, MD
• Sepulveda Medical Transport LLC
• Natacha Nicole Sepulveda Pacheco, PSYD
• John Sepulveda
• Serrano Ambulance Service Inc.
• Jahaira L Serrano Dominguez, M.D.
• Isis D Serrano Otero, PH.D.
• Serrano Pulmonary Services,LLC
• Dimaris Serrano Viruet, MD

• General Practice Dentistry in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.