Provider Demographics
NPI:1356743405
Name:SEISE, NILFRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:NILFRA
Middle Name:
Last Name:SEISE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CALLE LUIS MOLINA
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-3449
Mailing Address - Country:US
Mailing Address - Phone:787-378-6513
Mailing Address - Fax:
Practice Address - Street 1:CARR. #2 KM 56.0
Practice Address - Street 2:PLAZA BARCELONETA #8
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-378-6513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4047103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical