Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 11698 | PR |
NPI | 1558392241 |
---|---|
Provider Name | Dr. Felix J Seda-Diaz |
First Address | San Juan, PR 00936-2707 |
Second Address | San Juan, PR 00912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 20/05/2014 |