# F SEPULVEDA PHYSIATRY & SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** F SEPULVEDA PHYSIATRY & SPORTS MEDICINE, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841742459
- **Authorized official:** FERNANDO LUIS SEPULVEDA-IRIZARRY MD (SOLE OWNER)
- **Authorized official phone:** (787) 378-9667

## Contact information

- **Practice address:** 100 CARR 165 TORRE 1 SUITE 303, GUAYNABO, PR 00968-8049
- **Practice address phone:** (787) 277-0847
- **Mailing address:** 100 CALLE DEL MUELLE APT 2301, SAN JUAN, PR 00901-2669
- **Mailing address phone:** (787) 378-9667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 18434 | PR | Yes |

## Other

- **Enumeration date:** 10/30/2016
- **Last updated:** 02/16/2023