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NPI Code Detail

MEDICARE: DR. NATACHA NICOLE SEPULVEDA PACHECO PSYD

MEDICARE:  DR. NATACHA NICOLE SEPULVEDA PACHECO  PSYD
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
1103TC0700XClinical Psychologist8914PR

General Provider Information

NPI Number : 1922966100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATACHA NICOLE SEPULVEDA PACHECO PSYD
Provider Business Mailing Address
First Line : 4647 CALLE CODORNIZ
Second Line :
City : ISABELA
State : PR
Zip : 00662-4865
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16 CALLE ANA LENS DE SUSONI
Second Line :
City : ARECIBO
State : PR
Zip : 00612-4301
Country : US
Telephone Number : 787-879-1962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “ DR. NATACHA NICOLE SEPULVEDA PACHECO PSYD” Practice Location

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