MEDICARE: DR. PEDRO J SEDA MD

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	207L00000X	Anesthesiology Physician	13285	PR

General Provider Information

NPI Number	:	1598725491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO J SEDA MD

Provider Business Mailing Address
First Line	:	PO BOX 2992
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-2992
Country	:	US
Telephone Number	:	787-843-0244
Fax Number	:	787-843-0108

Provider Business Practice Location Address
First Line	:	410 AVE HOSTOS
Second Line	:	BO SABALOS
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1560
Country	:	US
Telephone Number	:	787-843-0244
Fax Number	:

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/23/2015

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