Individual
DR. WALDEMAR CHARLES RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 AVE DOMENECH, SUITE 607, SAN JUAN, PR 00918-3710
(787) 250-0084
(787) 250-2181
Mailing address
400 AVE DOMENECH, SUITE 607, SAN JUAN, PR 00918-3710
(787) 250-0084
(787) 772-7731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14760
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100679
CRUZ AZUL
PR
01
—
212899
PREFERRED HEALTH
PR
01
—
22925
TRIPLE S
PR
01
—
2879
PREFERRED MEDICARE CHOICE
PR
01
—
300129
MMM
PR
01
—
9180625
HUMANA
PR
01
—
PE4854
PALIC
PR
Enumeration date
03/08/2006
Last updated
04/02/2012
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