MEDICARE: SAN FRANCISCO NUCLEAR IMAGING, LLC

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1952735664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN FRANCISCO NUCLEAR IMAGING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 270316
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-0196
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	DE DIEGO AVE 126
Second Line	:	SEIN MEDICAL PLAZA, SUITE 5,
City	:	SAN JUAN
State	:	PR
Zip	:	00936-1077
Country	:	US
Telephone Number	:	787-622-7333
Fax Number	:	787-622-7332

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICARDO JAVIER SEIN
Credential	:	M.D.
Telephone Number	:	787-420-5894

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	09/16/2013

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