Healthcare Provider Details

I. General information

NPI: 1982251336
Provider Name (Legal Business Name): JAVIER FRANCISCO SEVILLA RODRIGUEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SANTA ISABEL PROFESSIONAL BUILDING SUITE 205
SANTA ISABEL PR
00757
US

IV. Provider business mailing address

PASEO MAYOR CALLE 8 D-29
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-971-7134
  • Fax:
Mailing address:
  • Phone: 787-649-0978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number23862
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV2263
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberV2263
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: