Healthcare Provider Details

I. General information

NPI: 1972709525
Provider Name (Legal Business Name): NAGGAI YAMIR GONZALEZ-SEGARRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAGGAI YAMIR GONZALEZ-SEGARRA M.D.

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 12/29/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. JOSE VILLARES URB. PARADIS C-2
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 9028
CAGUAS PR
00726-9028
US

V. Phone/Fax

Practice location:
  • Phone: 787-743-4547
  • Fax: 787-743-1218
Mailing address:
  • Phone: 787-743-4547
  • Fax: 787-743-1218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number18205
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number18205
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: