Individual provider Active NPI

Carlos V Rosario Sepulveda, MD

  • Cardiovascular Disease Physician
  • Mayaguez, PR
National Provider Identifier
1710937180
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
007361 Issued in PR
Practice address
169 Santiago Riera Palmer
Mayaguez, PR 00680
Phone
(787) 834-3805
Fax
(787) 265-7741
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 007361 PR Primary

Addresses

Primary practice location

169 Santiago Riera Palmer
Mayaguez, PR 00680

Mailing address

169 Santiago Riera Palmer
Mayaguez, PR 00680
Phone (787) 834-3805

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
I20100830000118 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 1557485422 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: General Practice, Internal Medicine, Peripheral Vascular Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Calle Santiago R Palmer E
Mayaguez, PR 00680-5036
Phone (787) 834-3805

Santiago Riera Palmer 169 Bajos
Mayaguez, PR 00680-5036

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007361PRMDCardiovascular Disease Physician

Hospital & facility affiliations 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1710937180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SANTIAGO RIERA PALMER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-3805",
            "fax_number": "787-265-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SANTIAGO RIERA PALMER",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-3805",
            "fax_number": "787-265-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO SEPULVEDA",
        "first_name": "CARLOS",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "007361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.