Doctor Name: | DR. OMAR SEGARRA-ALONSO |
NPI Number: | 1184828139 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17097 |
Business Practice Address: | 105 Villa Este Dorado, PR - 006462335 |
Business Phone Number: | 7876926565 |
Business Fax Number: | |
Mailing Address: | 105 Villa Este, DORADO |
State: | PR |
Postal Code: | 006462335 |
Phone Number: | 7876926565 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 11/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17097 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |