NPIMap

Individual provider Active NPI

Sonia L Sepulveda

  • Clinical Medical Laboratory
  • Penuelas, PR
National Provider Identifier
1730248303
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
347 Issued in PR
Practice address
#628 Calle Pedro Velazquez Diaz
Edificio Aurora B1
Penuelas, PR 00624
Phone
(787) 836-2178
Fax
(787) 836-2255
NPI assigned
Dec 8, 2006
Last updated
Feb 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 347 PR Primary
Medical Technologist 246QM0706X
Medical Technologist 246QM0706X 975 PR

Addresses

Primary practice location

#628 Calle Pedro Velazquez Diaz
Edificio Aurora B1
Penuelas, PR 00624

Mailing address

PO Box 490
Penuelas, PR 00624
Phone (787) 836-2178

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

State licenses

LicenseStateTypeSpecialty
347PRMDOptometrist
975PRMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Sonia Sepulveda, Inc Clinical Medical Laboratory Current Accepting new patients
Laboratorio Clinico Sonia Sepulveda Clinical Medical Laboratory Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1730248303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-2178",
            "fax_number": "787-826-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#628 CALLE PEDRO VELAZQUEZ DIAZ",
            "address_2": "EDIFICIO AURORA B1",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-2178",
            "fax_number": "787-836-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "SONIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "347",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.