Provider Demographics
NPI:1346531704
Name:NAJUL SEDA, JOSE ELIAS (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ELIAS
Last Name:NAJUL SEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1868
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1868
Mailing Address - Country:US
Mailing Address - Phone:787-239-2471
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN OFFICE BUILDING
Practice Address - Street 2:152 AVE. JOSE DE DIEGO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4550
Practice Address - Country:US
Practice Address - Phone:787-650-1071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.207292208M00000X
390200000X
PR022082207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA04122251Medicaid
LA2373676Medicaid
LA04122251Medicaid