Provider Demographics
NPI:1871859124
Name:NEGRON SEIJO, OLGA INES (DC)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:INES
Last Name:NEGRON SEIJO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 CALLE TOSSA DEL MAR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-2126
Mailing Address - Country:US
Mailing Address - Phone:469-450-2202
Mailing Address - Fax:
Practice Address - Street 1:329 CALLE ALONDRA
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-9426
Practice Address - Country:US
Practice Address - Phone:469-450-2202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor