| NPI | 1841742459 |
|---|---|
| Former Legal Business Name | F SEPULVEDA PHYSIATRY & SPORTS MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | FERNANDO LUIS SEPULVEDA-IRIZARRY Sole Owner 787-378-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: PR 18434) |
| Enumeration Date | 2016-10-30 |
| Last Update Date | 2023-02-16 |