Provider Demographics
NPI:1558392241
Name:SEDA-DIAZ, FELIX J (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:J
Last Name:SEDA-DIAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 362707
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2707
Mailing Address - Country:US
Mailing Address - Phone:787-268-2300
Mailing Address - Fax:787-268-3055
Practice Address - Street 1:AVE SAN JORGE 252
Practice Address - Street 2:SUITE 501
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-268-2300
Practice Address - Fax:787-268-3055
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11698174400000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No174400000XOther Service ProvidersSpecialist