Organization
ISV PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILEANA SEPULVEDA MD (PRESIDENT)
(787) 856-7708
Entity
Organization
Contact information
Practice address
29 CALLE PASARELL, YAUCO, PR 00698
(787) 856-7708
(787) 856-7708
Mailing address
PO BOX 5075, PMB 376, SAN GERMAN, PR 00683
(787) 856-7708
(787) 856-7708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
009604
PR
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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