Provider Demographics
NPI:1518941970
Name:FERNANDEZ-SEIN, ALICIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:E
Last Name:FERNANDEZ-SEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:202 CALLE PINTOR CAMPECHE
Mailing Address - Street 2:BALDRICH
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4316
Mailing Address - Country:US
Mailing Address - Phone:787-726-0210
Mailing Address - Fax:787-728-5136
Practice Address - Street 1:252 CALLE SAN JORGE
Practice Address - Street 2:SAN JORGE MEDICAL BLDG SUITE 406
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3310
Practice Address - Country:US
Practice Address - Phone:787-726-0210
Practice Address - Fax:787-728-5136
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR53992080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0094492Medicare ID - Type UnspecifiedMEDICARE