Healthcare Provider Details

I. General information

NPI: 1407966716
Provider Name (Legal Business Name): ANDRES M BRITT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URBANIZACION SABANERA 421 CAM DE LAS MIRAMELINDAS
CIDRA PR
00739-9440
US

IV. Provider business mailing address

URBANIZACION SABANERA 421 CAM DE LAS MIRAMELINDAS
CIDRA PR
00739-9440
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-1266
  • Fax: 866-377-9211
Mailing address:
  • Phone: 787-739-1266
  • Fax: 866-377-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number10958
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number10958
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: