Healthcare Provider Details

I. General information

NPI: 1689543282
Provider Name (Legal Business Name): ALEXEI SEIJO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 11/03/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 NW 25TH ST
DORAL FL
33172-5921
US

IV. Provider business mailing address

15380 SW 136TH ST APT 114
MIAMI FL
33196-3080
US

V. Phone/Fax

Practice location:
  • Phone: 305-406-3689
  • Fax:
Mailing address:
  • Phone: 305-337-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: