Organization
DR DOMINGO SEPULVEDA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINGO SEPULVEDA SR. MD (PEDIATRICTAIN)
(787) 743-3003
Entity
Organization
Contact information
Practice address
AVE LUIS MANOR MARIN HOSPITAL HIMA, SUITE 115, CAGUAS, PR 00725
(787) 743-3003
(787) 743-9290
Mailing address
PO BOX 6419, CAGUAS, PR 00776-6419
(787) 743-3003
(787) 743-9290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4295
PR
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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