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General NPI Number Information
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NPI Number | 1235211178
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Entity Type | Individual
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Provider Name | ALEXANDER LEE SEGAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 239 AVE. ARTERIAL HOSTOS, CAPITAL CENTER SUITE 205
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City | HATO REY
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-413-0297
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Fax | 787-753-7527
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Provider Business Mailing Address
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Address Line | 29 AZUCENA ST. URB RIO PIEDRAS VALLEY URB. RIO PIEDRAS VALLEY
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-413-0297
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Fax | 787-753-7592
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15692
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License Number State | PR
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