Individual
LOURDES V SEPULVEDA PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8133 CALLE CONCORDIA, SUITE 202, PONCE, PR 00717-1543
(787) 843-1700
(787) 842-0900
Mailing address
PO BOX 335038, PONCE, PR 00733-5038
(787) 843-1700
(787) 842-0900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13345
PR
207Q00000X
Family Medicine Physician
13345
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13345
STATE LICENCE
PR
Enumeration date
08/23/2006
Last updated
05/08/2013
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