Provider Demographics
NPI:1356358857
Name:BRITO, RAFAEL A (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:A
Last Name:BRITO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAFAEL
Other - Middle Name:ANTONIO
Other - Last Name:BRITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:TORRE SAN PABLO #68,CALLE SANTA CRUZ
Mailing Address - Street 2:SUITE 805
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7033
Mailing Address - Country:US
Mailing Address - Phone:787-786-7605
Mailing Address - Fax:787-786-7675
Practice Address - Street 1:AVE. STA. CRUZ SUITE 805
Practice Address - Street 2:TORRE SAN PABLO #68
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7033
Practice Address - Country:US
Practice Address - Phone:787-786-7605
Practice Address - Fax:787-786-7675
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3635174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist