| Doctor Name: | GABRIEL RIVERA SEPULVEDA |
| NPI Number: | 1225260805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17703 |
| Business Practice Address: | Car #2 Km 167.2 Bo. Duey Bajo Sector Nazario San German, PR - 00683 |
| Business Phone Number: | 7879514442 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2088, SAN GERMAN |
| State: | PR |
| Postal Code: | 006832088 |
| Phone Number: | 7879514442 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2009 |
| NPI Last Update Date: | 06/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |