Individual
DIEGO JAVIER SEPULVEDA ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GRAND PASEO BLVD, SAN JUAN, PR 00926-5905
(787) 283-2555
Mailing address
3950 CARR 176 APT 30, SAN JUAN, PR 00926-6611
(787) 515-0694
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2658
PR
390200000X
Student in an Organized Health Care Education/Training Program
3041
PR
Other
Enumeration date
08/02/2023
Last updated
03/08/2024
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