Provider Demographics
NPI:1821730680
Name:SEPULVEDA ALEMANY, DANIEL ENRIQUE
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ENRIQUE
Last Name:SEPULVEDA ALEMANY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE GALILEO 361
Mailing Address - Street 2:APT. 11M CONDOMINIO JARDINES METROPOLITANOS 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:787-464-2990
Mailing Address - Fax:
Practice Address - Street 1:CALLE GALILEO 361
Practice Address - Street 2:APT. 11M CONDOMINIO JARDINES METROPOLITANOS 2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-464-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program