1942267695 NPI number — EDUARDO A. RIOS

Table of content: (NPI 1942267695)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942267695 NPI number — EDUARDO A. RIOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDUARDO A. RIOS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAB. CLINICO CENTRAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942267695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 902
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00954-0902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-870-3760
Provider Business Mailing Address Fax Number:
787-870-2735

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32 CALLE ANTONIO LOPEZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-870-3760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RIOS
Authorized Official First Name:
EDUARDO
Authorized Official Middle Name:
ALFONSO
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
787-870-3760

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  0634 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 118465552 . This is a "MAPFRE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "MCS CLASSIC CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20363 . This is a "AMERICAN HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "PALIC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2329 . This is a "FIRST MEDICAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 051180 . This is a "CRUZ AZUL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20171 . This is a "PREFERRED MEDICARE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7580015 . This is a "HUMANA INS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "GLOBAL INS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "MAPFRE EXCEL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30467 . This is a "SSS OPTIMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7580015 . This is a "HUMANA HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 051180 . This is a "CNZVL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "COSVI" identifier . This identifiers is of the category "OTHER".
  • Identifier: L0634 . This is a "UIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 118465552 . This is a "MCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30467 . This is a "SSS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40644 . This is a "PREFERRED HEALTH" identifier . This identifiers is of the category "OTHER".




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