Provider Demographics
NPI:1528279429
Name:SEDA, EMMA RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:RUTH
Last Name:SEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 AVE. RAFAEL CORDERO
Mailing Address - Street 2:PMB 541 SUITE 140
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3757
Mailing Address - Country:US
Mailing Address - Phone:787-568-7796
Mailing Address - Fax:
Practice Address - Street 1:200 AVE RAFAEL CORDERO PMB 541
Practice Address - Street 2:SUITE 140
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3740
Practice Address - Country:US
Practice Address - Phone:787-568-7796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14237174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist