Provider Demographics
NPI:1275031676
Name:GRUPO SEGOVIA SC
Entity Type:Organization
Organization Name:GRUPO SEGOVIA SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLECTION
Authorized Official - Prefix:
Authorized Official - First Name:XIOMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANDA VIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:987-872-9400
Mailing Address - Street 1:PO BOX 11198
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1198
Mailing Address - Country:US
Mailing Address - Phone:954-903-7445
Mailing Address - Fax:
Practice Address - Street 1:101 CALLE PRIMERA SUR
Practice Address - Street 2:ADOLFO LOPEZ MATEOS
Practice Address - City:COZUMEL
Practice Address - State:QUINTANA ROO
Practice Address - Zip Code:77640
Practice Address - Country:MX
Practice Address - Phone:954-903-7445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty