1336202753 NPI number — ROBERTO J SEIN & RAFAEL M RIVERA PTR

Table of content: (NPI 1336202753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336202753 NPI number — ROBERTO J SEIN & RAFAEL M RIVERA PTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERTO J SEIN & RAFAEL M RIVERA PTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ULTRASONIDO DIAGNOSTICO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336202753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
AVE. DE DIEGO 216 SEIN MEDICAL PLAZA
Provider Second Line Business Mailing Address:
REPARTO METROPOLITANO
Provider Business Mailing Address City Name:
RIO PIEDRAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00921
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-753-4631
Provider Business Mailing Address Fax Number:
787-753-4631

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE DE DIEGO #201
Provider Second Line Business Practice Location Address:
PLAZA SAN FRANCISCO OFICE #30
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-753-4631
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SEIN
Authorized Official First Name:
ROBERTO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-753-4631

Provider Taxonomy Codes

  • Taxonomy code: 261QR0206X , with the licence number:  5636 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)