Jose A Rivera Sepulveda, MD
Internal Medicine in Statesboro, Georgia
1225590821- Practice location
- 405 S College St, Statesboro, GA 30458-5409
- Phone
- 478-621-2072
- Fax
- —
- Last updated
- December 28, 2023
Jose Alfredo Rivera Sepulveda is an Internal Medicine based in Statesboro, GA. Jose Alfredo Rivera Sepulveda practices in Statesboro, GA and has the professional credentials of MD. The NPI Number for Jose Alfredo Rivera Sepulveda is 1225590821 and holds a License No. 35269-R (PR). The current practice location address for Jose Alfredo Rivera Sepulveda is 405 S College St, Statesboro, GA 30458-5409 and can be reached out via phone at 478-621-2072.
Provider Profile Details
- NPI Number
- 1225590821
- Provider Name
- Jose Alfredo Rivera Sepulveda
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 405 S College St, Statesboro, GA 30458-5409
- Phone Number
- 478-621-2072
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 2, 2019
- Last Update Date
- December 28, 2023
- Certification Date
- December 28, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 405 S College St
Statesboro, GA 30458-5409 - City
- Statesboro
- State
- Georgia
- Zip
- 30458-5409
- Phone Number
- 478-621-2072
Provider Business Mailing Address Details
- Address
- Po Box 3594
Mayaguez, PR 00681-3594 - City
- Mayaguez
- State
- PR
- Zip
- 00681-3594
- Phone Number
- 939-940-6670
License Information
- License Number (1)
- 35269-R
- License State (1)
- PR
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 94290
- License State (3)
- GA
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Statesboro, GA
View all Internal Medicine providers in Statesboro →Frequently Asked Questions
What is the NPI number of Jose A Rivera Sepulveda, MD?
The NPI number of Jose A Rivera Sepulveda, MD is 1225590821. It was assigned on April 2, 2019 and is currently active in the NPPES registry.
What is the specialty of Jose A Rivera Sepulveda, MD?
Jose A Rivera Sepulveda, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 35269-R.
Where does Jose A Rivera Sepulveda, MD practice?
The practice location is 405 S College St, Statesboro, GA 30458-5409. The office can be reached at 478-621-2072 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225590821 directly on the NPPES registry website.