Provider Demographics
NPI:1619291218
Name:ROBERTO J SEIN AND RAFAEL M. RIVERA
Entity Type:Organization
Organization Name:ROBERTO J SEIN AND RAFAEL M. RIVERA
Other - Org Name:ULTRASONIDO DIAGNOSTICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-753-4631
Mailing Address - Street 1:PO BOX 5489
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5489
Mailing Address - Country:US
Mailing Address - Phone:787-753-4631
Mailing Address - Fax:787-774-7100
Practice Address - Street 1:Q5 AVE MUNOZ MARIN
Practice Address - Street 2:URB MARIOLGA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6459
Practice Address - Country:US
Practice Address - Phone:787-746-5181
Practice Address - Fax:787-747-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5636261QR0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC77543Medicare UPIN