MEDICARE: DR. RAFAEL RODRIGUEZ SEPULVEDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	5080	PR

General Provider Information

NPI Number	:	1083750251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFAEL RODRIGUEZ SEPULVEDA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 366257
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-6257
Country	:	US
Telephone Number	:	787-765-5479
Fax Number	:	787-753-8701

Provider Business Practice Location Address
First Line	:	HOSPITAL DEL MAESTRO
Second Line	:	DEPARTMENT OF ANESTHESIOLOGY
City	:	SAN JUAN
State	:	PR
Zip	:	00918
Country	:	US
Telephone Number	:	787-765-5479
Fax Number	:	787-753-8701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	01/26/2026

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