Provider Demographics
NPI:1235350539
Name:BRITO, NEFTALI (6529)
Entity Type:Individual
Prefix:DR
First Name:NEFTALI
Middle Name:
Last Name:BRITO
Suffix:
Gender:M
Credentials:6529
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CALLE PERSEO
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-1624
Mailing Address - Country:US
Mailing Address - Phone:787-791-2887
Mailing Address - Fax:
Practice Address - Street 1:55 CALLE PERSEO
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-1624
Practice Address - Country:US
Practice Address - Phone:787-791-2887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6529174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist