Active NPI
Deborah Esther Sepulveda
- Family Psychologist
- Isabela, PR
National Provider Identifier
1902533094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 6579
- Practice address
- Carr 112 KM 1.2 Bo Pueblo
Isabela, PR 00662 - Phone
- (939) 319-5621
- NPI assigned
- Aug 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 6579 | PR | Primary |
Addresses
Primary practice location
Carr 112 KM 1.2 Bo Pueblo
Isabela, PR 00662
Mailing address
4 Calle Los Cipreses
Moca, PR 00676-5057
Phone (787) 462-2514
Other practice location 1
Carr 112 Km 1.2 Bo Pueblo
Isabela, PR 00662
Phone (939) 319-5621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6579 | PR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1902533094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CALLE LOS CIPRESES",
"city": "MOCA",
"state": "PR",
"postal_code": "006765057",
"telephone_number": "787-462-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 112 KM 1.2 BO PUEBLO",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "939-319-5621"
}
],
"practiceLocations": [
{
"address_1": "Carr 112 Km 1.2 Bo Pueblo",
"address_purpose": "LOCATION",
"city": "Isabela",
"state": "PR",
"postal_code": "00662",
"country_code": "US",
"telephone_number": "939-319-5621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "DEBORAH",
"middle_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "PR",
"license": "6579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.