MEDICARE: DR. EMMA RUTH SEDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	14237	PR

General Provider Information

NPI Number	:	1528279429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMMA RUTH SEDA M.D.

Provider Business Mailing Address
First Line	:	200 AVE. RAFAEL CORDERO
Second Line	:	PMB 541 SUITE 140
City	:	CAGUAS
State	:	PR
Zip	:	00725-3757
Country	:	US
Telephone Number	:	787-568-7796
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 AVE RAFAEL CORDERO PMB 541
Second Line	:	SUITE 140
City	:	CAGUAS
State	:	PR
Zip	:	00725-3740
Country	:	US
Telephone Number	:	787-568-7796
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/08/2007

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