Doctor Name: | DR. MARIA JUDITH SEGURA |
NPI Number: | 1467573345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | 005611 |
License Number: | 005611 |
Business Practice Address: | Road No. 2 , Km. 13.5 # 2070 Hato Tejas Bayamon, PR - 009614369 |
Business Phone Number: | 7873626285 |
Business Fax Number: | 7877984983 |
Mailing Address: | Po Box 273, BAYAMON |
State: | PR |
Postal Code: | 009600273 |
Phone Number: | 7873626285 |
Fax Number: | 7877984983 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 005611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |