Individual
BRYAN OMAR SEPULVEDA BAHAMUNDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ROAD 129 KM 1.0, AVE. SAN LUIS, ARECIBO, PR 00612
(787) 650-7272
Mailing address
114 CALLE MARMOL, URB EL PEDREGAL, SAN GERMAN, PR 00683
(787) 321-1812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
37383-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/18/2024
Last updated
07/02/2025
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