Provider Demographics
NPI:1477275964
Name:SARAIVA, RITA SEQUEIRA
Entity Type:Individual
Prefix:MISS
First Name:RITA
Middle Name:SEQUEIRA
Last Name:SARAIVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 N BEACON ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-2671
Mailing Address - Country:US
Mailing Address - Phone:978-435-5327
Mailing Address - Fax:
Practice Address - Street 1:75 N BEACON ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-2671
Practice Address - Country:US
Practice Address - Phone:617-981-1438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program