Organization
F SEPULVEDA PHYSIATRY & SPORTS MEDICINE
Active
Other names
F SEPULVEDA PHYSIATRY & SPORTS MEDICINE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LUIS SEPULVEDA-IRIZARRY MD (SOLE OWNER)
(787) 378-9667
Entity
Organization
Contact information
Practice address
100 CARR 165 TORRE 1 SUITE 303, GUAYNABO, PR 00968-8049
(787) 277-0847
Mailing address
100 CALLE DEL MUELLE APT 2301, SAN JUAN, PR 00901-2669
(787) 378-9667
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
18434
PR
Other
Enumeration date
10/30/2016
Last updated
02/16/2023
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