Healthcare Provider Details

I. General information

NPI: 1386589711
Provider Name (Legal Business Name): MISS VERONICA ANGELIE SEGUINOT SR.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CARR 842
SAN JUAN PR
00926-9624
US

IV. Provider business mailing address

100 CARR 842
SAN JUAN PR
00926-9624
US

V. Phone/Fax

Practice location:
  • Phone: 787-209-7156
  • Fax:
Mailing address:
  • Phone: 787-209-7156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number8912
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: