Provider Demographics
NPI:1093706533
Name:SEGAL, FLORENCIA PEREYRA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORENCIA
Middle Name:PEREYRA
Last Name:SEGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FLORENCIA
Other - Middle Name:MARIA
Other - Last Name:PEREYRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-8881
Mailing Address - Fax:617-732-6829
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:149-5234
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-5536
Practice Address - Fax:617-726-5411
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225160207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine