MEDICARE: MR. LESTHER SEIJAS

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
1	225X00000X	Occupational Therapist	OT11695	FL

General Provider Information

NPI Number	:	1730345257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LESTHER SEIJAS

Provider Business Mailing Address
First Line	:	17430 NW 82ND AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3603
Country	:	US
Telephone Number	:	305-556-0442
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 W 9TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3853
Country	:	US
Telephone Number	:	305-863-2233
Fax Number	:	305-863-3296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	08/04/2008

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Directions to “ MR. LESTHER SEIJAS ” Practice Location

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