Provider Demographics
NPI:1811983422
Name:SEPULVEDA FRANCO, JULIO ARMANDO
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ARMANDO
Last Name:SEPULVEDA FRANCO
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:PO BOX 7335
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7335
Mailing Address - Country:US
Mailing Address - Phone:787-260-2334
Mailing Address - Fax:787-260-1846
Practice Address - Street 1:101 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795-1647
Practice Address - Country:US
Practice Address - Phone:787-260-2334
Practice Address - Fax:787-260-1846
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10183207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
74204 J DIAZOtherATLANTIC CARE MEDICAL SER
38505 (5012)OtherASOCIACION DE MAESTROS
7310151OtherHUMANA
0083749OtherPONCE
1111051OtherACCA
065615 (M5615)OtherCRUZ AZUL
7310151OtherHUMANA INSURANCE
83749OtherMEDICARE OPTIMO
7310151OtherHUMANA HEALTH PLAN
74209 PONCEOtherATLANTIC CARE MEDICAL SER
74204 J DIAZOtherATLANTIC CARE MEDICAL SER
0083749AMedicare ID - Type Unspecified
PR0083749Medicare ID - Type Unspecified