Provider Demographics
NPI:1992812440
Name:SEGURA OJEDA, JULIO B (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:B
Last Name:SEGURA OJEDA
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:P O BOX 33908
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-0908
Mailing Address - Country:US
Mailing Address - Phone:787-840-2439
Mailing Address - Fax:787-840-2439
Practice Address - Street 1:8024 CALLE CONCORDIA OFI.301
Practice Address - Street 2:EDIF MORALES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-840-2439
Practice Address - Fax:787-840-2439
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6933208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics