Provider Demographics
NPI:1114746252
Name:SEIJO, ANDREA N (ND)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:N
Last Name:SEIJO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 15287
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-9740
Mailing Address - Country:US
Mailing Address - Phone:787-550-1497
Mailing Address - Fax:
Practice Address - Street 1:URB. EL VETERANO, 1725 EXTENSION PONCE DE LEON
Practice Address - Street 2:SUITE 012 BO. MONACILLO URBANO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:939-649-3069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR105175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath