Healthcare Provider Details

I. General information

NPI: 1689292443
Provider Name (Legal Business Name): SEBASTIAN BRITO-ORAMA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PUERTO RICO MEDICAL CENTER BO MONACILLOS
SAN JUAN PR
00917
US

IV. Provider business mailing address

ALTURAS DE SANTA MARIA CALLE NOGAL 102
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-378-2599
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberW5282
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: