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NPI Code Detail

MEDICARE: FMSC SEGUIN OPERATING COMPANY LP

MEDICARE: FMSC SEGUIN OPERATING COMPANY LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1710950274
Entity Type Code : Organization
Provider Name (Legal Business Name) : FMSC SEGUIN OPERATING COMPANY LP
Provider Business Mailing Address
First Line : 11900 BISCAYNE BLVD SUITE 301
Second Line :
City : MIAMI
State : FL
Zip : 33181
Country : US
Telephone Number : 305-892-1790
Fax Number :
Provider Business Practice Location Address
First Line : 1219 EASTWOOD DR
Second Line :
City : SEGUIN
State : TX
Zip : 78155-5133
Country : US
Telephone Number : 830-379-7777
Fax Number :
Authorized Official
Title or Position : VP OF REIMBURSMENTS
Name : MR. NELSON ROBAINA JR.
Credential : B.S.
Telephone Number : 305-892-1790
Provider Enumeration Date : 02/07/2006
Last Update Date : 08/09/2007

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Directions to “FMSC SEGUIN OPERATING COMPANY LP ” Practice Location

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