Healthcare Provider Details

I. General information

NPI: 1275292906
Provider Name (Legal Business Name): SEGUINOT MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2021
Last Update Date: 12/09/2021
Certification Date: 12/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 772 KM 9.4 BOTIJAS 1
OROCOVIS PR
00720
US

IV. Provider business mailing address

RR 1 BOX 14178
OROCOVIS PR
00720-9521
US

V. Phone/Fax

Practice location:
  • Phone: 787-346-5206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LUNIZ SEGUINOT RIVERA
Title or Position: SOLE MEMBER
Credential: MD
Phone: 787-346-5206