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Individual

EDUARDO ALFONSO RIOS SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32 ANTONIO LOPEZ, TOA ALTA, PR 00954-0902
(787) 870-3760
(787) 870-2735
Mailing address
PO BOX 902, TOA ALTA, PR 00954-0902
(787) 870-3760
(787) 870-2735

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15565
PR
246Z00000X
Other Specialist/Technologist
Z022
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100553
CRUZ AZUL
PR
01
2011301
PREFERRED HEALTH
01
22605
TRIPLE S
01
22605R1
SSS
PR
01
3115565
UIA
01
825424
MEDICARE MUCHCO MAS
Enumeration date
04/27/2006
Last updated
04/02/2013
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