Organization Active NPI

Sepulveda Endocrine & Diabetes Center LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Humacao, PR
National Provider Identifier
1952148728
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SEPULVEDA ENDOCRINE & DIABETES CENTER LLC
Practice address
Ryder Memorial Hospital
#355 Calle Font Martelo
Humacao, PR 00791
Phone
(787) 852-0768
NPI assigned
Jul 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Luis Ruben Sepulveda Garcia, MDNPI 1003342494
Title
Endocrinologist
Phone
(787) 391-1716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

Ryder Memorial Hospital
#355 Calle Font Martelo
Humacao, PR 00791

Mailing address

Palmares de Monteverde
94 Ramal 842 Apt 55
San Juan, PR 00926
Phone (787) 391-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004002308 PR Part B Supplier - Clinic/Group Practice 1456882125 Receives reassigned benefits from 1 practitioner
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1952148728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PALMARES DE MONTEVERDE",
            "address_2": "94 RAMAL 842 APT 55",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-391-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RYDER MEMORIAL HOSPITAL",
            "address_2": "#355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPULVEDA ENDOCRINE & DIABETES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA GARCIA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "787-391-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.