Provider Demographics
NPI:1053337063
Name:SEIN, ROBERTO J (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:J
Last Name:SEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5489
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-751-5587
Mailing Address - Fax:787-753-4631
Practice Address - Street 1:AVE DE DIEGO 201
Practice Address - Street 2:PLAZA SAN FCO OFIC #30
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-751-5587
Practice Address - Fax:787-753-4631
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR56392085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
27499Medicare ID - Type Unspecified
C77543Medicare UPIN