Doctor Name: | RUBEN SEPULVEDA RIVAS |
NPI Number: | 1568589273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 12423 |
Business Practice Address: | 8 Calle Saturnino Rodriguez Yabucoa, PR - 007673517 |
Business Phone Number: | 7878933411 |
Business Fax Number: | 7878937947 |
Mailing Address: | Po Box 2050, YABUCOA |
State: | PR |
Postal Code: | 007672050 |
Phone Number: | 7878933411 |
Fax Number: | 7878937947 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 09/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |