Individual provider Active NPI

Julio Nelson Sepulveda Acosta, M.D.

  • Diagnostic Neuroimaging (Radiology) Physician
  • San Juan, PR
National Provider Identifier
1619192184
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
License
017223 Issued in PR
Practice address
650 Calle Lloveras
Cond Centro Plaza Suite 104
San Juan, PR 00909
Phone
(787) 625-1446
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 017223 PR
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 017223 PR Primary

Addresses

Primary practice location

650 Calle Lloveras
Cond Centro Plaza Suite 104
San Juan, PR 00909

Mailing address

H3 Calle H
Guaynabo, PR 00966-1742
Phone (787) 313-5093

Other names 1

  • Dr. Julio Nelson Sepulveda Acosta Other name

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
I20140806001213 PR Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 0840391751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians

Practice addresses (Care Compare)

1462 Calle Profesor Augusto Rodriguez
San Juan, PR 00910-1137
Phone (787) 641-1616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.05 of 100Reported as group
Quality
16.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017223PRMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & P Radiologos, LLC CurrentSince Jun 28, 2014 Accepting new patients

Locations

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

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.

Hospital & facility affiliations 1

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1619192184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H3 CALLE H",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661742",
            "telephone_number": "787-313-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CALLE LLOVERAS",
            "address_2": "COND CENTRO PLAZA SUITE 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-625-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA ACOSTA",
        "first_name": "JULIO",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "017223",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "PR",
            "license": "017223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIO",
            "last_name": "SEPULVEDA ACOSTA",
            "middle_name": "NELSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.