Individual provider Active NPI

Aitza Reyes Seda, MD

  • Pediatrics Physician
  • Vega Baja, PR
National Provider Identifier
1497796940
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13281 Issued in PR
Practice address
Hospital Wilma Vazquez
Suite 107
Vega Baja, PR 00693-0000
Phone
(787) 525-9700
Fax
(787) 977-8010
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13281 PR Primary

Addresses

Primary practice location

Hospital Wilma Vazquez
Suite 107
Vega Baja, PR 00693-0000

Mailing address

1357 Ave Ashford
PMB 427
San Juan, PR 00907-1400
Phone (787) 525-9700

Other identifiers 1

IdentifierTypeStateIssuer
13,281OtherPRLICENCIA MEDICO

Other names 1

  • Aitza Reyes Seda Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13281PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidshealth PSC Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1497796940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 AVE ASHFORD",
            "address_2": "PMB 427",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071400",
            "telephone_number": "787-525-9700",
            "fax_number": "787-977-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL WILMA VAZQUEZ",
            "address_2": "SUITE 107",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006930000",
            "telephone_number": "787-525-9700",
            "fax_number": "787-977-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES SEDA",
        "first_name": "AITZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA MEDICO",
            "identifier": "13,281",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AITZA",
            "last_name": "REYES SEDA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.