Individual provider Active NPI

Maria Cristina Sepulveda Figueroa, DMD

  • Periodontics
  • San Juan, PR
National Provider Identifier
1801643895
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
003460 Issued in PR
Practice address
1511 Ave Ponce de Leon Apt 1041
San Juan, PR 00909-5059
Phone
(787) 209-7550
NPI assigned
May 6, 2024
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 26578 FL
Periodontics 1223P0300X 003460 PR Primary

Addresses

Primary practice location

1511 Ave Ponce de Leon Apt 1041
San Juan, PR 00909-5059

Mailing address

1511 Ave Ponce de Leon Apt 1041
San Juan, PR 00909-5059
Phone (787) 209-7550

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428003424 PR Practitioner - PeriodonticsPractitioner - Dentist 1759807258 Practice locations: Dorado, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26578FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1801643895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON APT 1041",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095059",
            "telephone_number": "787-209-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 AVE PONCE DE LEON APT 1041",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009095059",
            "telephone_number": "787-209-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA FIGUEROA",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "26578",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "003460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.