Provider Demographics
NPI:1952110314
Name:LEBRON SEGUI, ARNALDO DAVID (MD)
Entity type:Individual
Prefix:
First Name:ARNALDO
Middle Name:DAVID
Last Name:LEBRON SEGUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HJ-3 EDUARDO FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:939-254-4205
Mailing Address - Fax:
Practice Address - Street 1:CARR 876 ESQUINA CLL ANICETO DIAZ A3
Practice Address - Street 2:URB. GOLDEN HILL
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-589-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR476PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical