Carla Cepero-Jimenez

Individual provider Active NPI Gastroenterology Physician · Orocovis, PR

NPI 1821545708 · NPPES record last updated Feb 2, 2026

Key facts

NPI
1821545708
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
22218 (PR)
Practice address
Ave Luis Munoz Marin # 5
Orocovis, PR 00720-4417
Phone
(787) 867-0736
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
22218PRMDGastroenterology Physician
022218PRMDGeneral Practice Physician
6070555PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Group LLC Gastroenterology Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 6070555 PR
Internal Medicine Physician 207R00000X 22218 PR
Gastroenterology Physician 207RG0100X 22218 PR Yes
General Practice Physician 208D00000X 022218 PR

Addresses

Primary practice location

Ave Luis Munoz Marin # 5
Orocovis, PR 00720-4417

Mailing address

PO Box 1859
Aibonito, PR 00705-1859

Other providers in Orocovis, PR

All providers in Orocovis, PR · Gastroenterology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.