Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 225160 | MA |
N | 111NI0900X | Internist | 225160 | MA |
Y | 207RI0200X | Infectious Disease | 225160 | MA |
NPI | 1093706533 |
---|---|
Provider Name | Dr. Florencia Pereyra Segal |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 13/11/2020 |