Provider Demographics
NPI:1972568541
Name:SEIN, RAFAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:E
Last Name:SEIN
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:PO BOX 11746
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2846
Mailing Address - Country:US
Mailing Address - Phone:787-751-4551
Mailing Address - Fax:787-751-4582
Practice Address - Street 1:1801 AVE PONCE DE LEON STE 203
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1917
Practice Address - Country:US
Practice Address - Phone:787-751-4551
Practice Address - Fax:787-751-4582
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5935174400000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR52236OtherFSE CAROLINA
PR065770OtherBLUE CROSS OF PR
PR97542OtherTRIPLE-S, INC.
PR52236OtherFSE CAROLINA
PR065770OtherBLUE CROSS OF PR