Provider Demographics
NPI:1013009455
Name:ROSARIO SEISE, ELZEBIR GISELA (MD)
Entity Type:Individual
Prefix:
First Name:ELZEBIR
Middle Name:GISELA
Last Name:ROSARIO SEISE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LAS VEGAS
Mailing Address - Street 2:CALLE 27 CC 15
Mailing Address - City:CATANO
Mailing Address - State:PR
Mailing Address - Zip Code:00962
Mailing Address - Country:US
Mailing Address - Phone:787-787-8310
Mailing Address - Fax:
Practice Address - Street 1:URB. ALTURAS DE FLAMBOYAN
Practice Address - Street 2:CALLE 32 NN 1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-787-8310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11259207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR061591OtherCRUZ AZUL
PR2812OtherAMERICAN HEALTH
PR3162OtherPREFERRED MEDICARE CHOICE
PR89587ROOtherTRIPLE S
PR500284EOtherMMM MEDICARE Y MUCHO MAS
PR9600169OtherHUMANA
PRE3918OtherPALIC
PR11511259OtherGLOBAL HEALTH PLAN
PR10363CTOtherTRIPLE S REFORMA
PR200145OtherPREFERRED HEALTH
PRE3918OtherPALIC
PR500284EOtherMMM MEDICARE Y MUCHO MAS