Healthcare Provider Details

I. General information

NPI: 1427088640
Provider Name (Legal Business Name): FELIX J SEDA ENT PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE SAN JORGE 252 SUITE 501
SANTURCE PR
00912
US

IV. Provider business mailing address

PO BOX 362707
SAN JUAN PR
00936-2707
US

V. Phone/Fax

Practice location:
  • Phone: 787-268-2300
  • Fax: 787-268-3055
Mailing address:
  • Phone: 787-268-2300
  • Fax: 787-268-3055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number11698
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number11698
License Number StatePR

VIII. Authorized Official

Name: DR. FELIX J SEDA-DIAZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-268-2300