| Doctor Name: | DR. ROSAN MARIE SEQUEDA |
| NPI Number: | 1174842421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 17923 |
| Business Practice Address: | 1282 Calle 50 Se La Riviera San Juan, PR - 009213145 |
| Business Phone Number: | 7877071963 |
| Business Fax Number: | 7879987953 |
| Mailing Address: | 1282 Calle 50 Se, La Riviera SAN JUAN |
| State: | PR |
| Postal Code: | 009213145 |
| Phone Number: | 7877071953 |
| Fax Number: | 7879987953 |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 02/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |