Individual provider Active NPI

Maria M Matos-Sepulveda, MT

  • Hematology Specialist/Technologist
  • Bayamon, PR
National Provider Identifier
1649305004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology Specialist/TechnologistTaxonomy code 246QH0000X
License
5080 Issued in PR
Practice address
Ofic 102, 1ER. Piso
Edif. Joaquin Montesino
Bayamon, PR 00961
Phone
(787) 785-3850
Fax
(787) 785-3850
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology Specialist/Technologist 246QH0000X 5080 PR Primary

Addresses

Primary practice location

Ofic 102, 1ER. Piso
Edif. Joaquin Montesino
Bayamon, PR 00961

Mailing address

23 Calle 7
Riverside Park
Bayamon, PR 00961-3505
Phone (787) 740-5606

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)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
5080PRMDHematology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649305004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CALLE 7",
            "address_2": "RIVERSIDE PARK",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613505",
            "telephone_number": "787-740-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFIC 102, 1ER. PISO",
            "address_2": "EDIF. JOAQUIN MONTESINO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-3850",
            "fax_number": "787-785-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-SEPULVEDA",
        "first_name": "MARIA",
        "middle_name": "M",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QH0000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Hematology",
            "state": "PR",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.