Provider Demographics
NPI:1114010980
Name:SEGUI, YAMILLE (LPT)
Entity Type:Individual
Prefix:
First Name:YAMILLE
Middle Name:
Last Name:SEGUI
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 266 PO BOX 10000
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-647-6477
Mailing Address - Fax:787-876-6823
Practice Address - Street 1:59 CALLE YABOA
Practice Address - Street 2:COSTA BRAVA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-6326
Practice Address - Country:US
Practice Address - Phone:787-647-6477
Practice Address - Fax:787-876-6823
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001214174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist