Provider Demographics
NPI:1104425545
Name:SECIN, FERNANDO PABLO (MD, PHD)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:PABLO
Last Name:SECIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUIPACHA 1294 7B
Mailing Address - Street 2:
Mailing Address - City:BUENOS AIRES
Mailing Address - State:CAPITAL FEDERAL
Mailing Address - Zip Code:1011ACB
Mailing Address - Country:AR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LAPRIDA
Practice Address - Street 2:
Practice Address - City:BUENOS AIRES
Practice Address - State:CAPITAL FEDERAL
Practice Address - Zip Code:1011ACB
Practice Address - Country:AR
Practice Address - Phone:114-805-3302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.140508208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology