Provider Demographics
NPI:1265406128
Name:SEGURA NIEVES, ENRIQUE (MD)
Entity type:Individual
Prefix:DR
First Name:ENRIQUE
Middle Name:
Last Name:SEGURA NIEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6688
Mailing Address - Street 2:SANTA ROSA UNIT
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5688
Mailing Address - Country:US
Mailing Address - Phone:787-740-8116
Mailing Address - Fax:787-785-7421
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:EDIF DR. ARTURO CADILLA SUITE 408
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-740-8116
Practice Address - Fax:787-785-7421
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2010-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR5652207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF09051Medicare UPIN