Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rafael Angel Rivera Sepulveda

Individual provider Internal Medicine Physician · NPI 1518515642

Rafael Angel Rivera Sepulveda is an Internal Medicine in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2019

Practice location Address checks out

17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone: (813) 259-0670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 — (813) 745-7365

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME167985 (FL)

Record details

NPI number1518515642
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 2, 2019
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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