MEDICARE: ROBERTO J SEIN & RAFAEL M RIVERA PTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0206X	Mammography Clinic/Center	5636	PR

General Provider Information

NPI Number	:	1336202753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERTO J SEIN & RAFAEL M RIVERA PTR

Provider Business Mailing Address
First Line	:	AVE. DE DIEGO 216 SEIN MEDICAL PLAZA
Second Line	:	REPARTO METROPOLITANO
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00921
Country	:	US
Telephone Number	:	787-753-4631
Fax Number	:	787-753-4631

Provider Business Practice Location Address
First Line	:	AVE DE DIEGO #201
Second Line	:	PLAZA SAN FRANCISCO OFICE #30
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00926
Country	:	US
Telephone Number	:	787-753-4631
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERTO J SEIN
Credential	:	MD
Telephone Number	:	787-753-4631

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	01/28/2011

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