Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 7414 | PR |
NPI | 1275744187 |
---|---|
Provider Name | Dr. Irma Seda |
First Address | San Juan, PR 00926 |
Second Address | Bayamon, PR 00956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |