Doctor Name: | JOSE SEPULVEDA |
NPI Number: | 1497726210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | F22 Calle 8 Tintillo Gardens Guaynabo, PR - 009661607 |
Business Phone Number: | 7877257241 |
Business Fax Number: | |
Mailing Address: | F22 Calle 8, Tintillo Gardens GUAYNABO |
State: | PR |
Postal Code: | 009661607 |
Phone Number: | 7877257241 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |