Individual
MIGUEL SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 CALLE CARBONELL APT 1, CABO ROJO, PR 00623-3519
(702) 232-6175
Mailing address
PO BOX 167, CABO ROJO, PR 00623-0167
(702) 232-6175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11334
PR
207R00000X
Internal Medicine Physician
Primary
7973
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
QC1207877
—
NV
Enumeration date
03/30/2006
Last updated
01/19/2026
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