1811983422 NPI number — DR. JULIO ARMANDO SEPULVEDA FRANCO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811983422 NPI number — DR. JULIO ARMANDO SEPULVEDA FRANCO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEPULVEDA FRANCO
Provider First Name:
JULIO
Provider Middle Name:
ARMANDO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811983422
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7335
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00732-7335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-260-2334
Provider Business Mailing Address Fax Number:
787-260-1846

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 CALLE COMERCIO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JUANA DIAZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00795-1647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-260-2334
Provider Business Practice Location Address Fax Number:
787-260-1846
Provider Enumeration Date:
09/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  10183 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 74204 J DIAZ . This is a "ATLANTIC CARE MEDICAL SER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 38505 (5012) . This is a "ASOCIACION DE MAESTROS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7310151 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0083749 . This is a "PONCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1111051 . This is a "ACCA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 065615 (M5615) . This is a "CRUZ AZUL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7310151 . This is a "HUMANA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 83749 . This is a "MEDICARE OPTIMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7310151 . This is a "HUMANA HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 74209 PONCE . This is a "ATLANTIC CARE MEDICAL SER" identifier . This identifiers is of the category "OTHER".




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