Doctor Name: | DR. MARLA E SEVILLA ALSINA |
NPI Number: | 1396019238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 18,383 |
Business Practice Address: | 2213 Ponce By Pass Suite 407 Ponce, PR - 007171318 |
Business Phone Number: | 7874785516 |
Business Fax Number: | |
Mailing Address: | R.r # 5 Box 5420, TOA ALTA |
State: | PR |
Postal Code: | 009539604 |
Phone Number: | 7874785516 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18,383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |