Individual
RADAMES VICENTE RIOS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 AVE ANTONIO R BARCELO STE 5, CAYEY, PR 00736-4132
(787) 307-2828
Mailing address
151 CALLE CESAR GONZALEZ APT 503, SAN JUAN, PR 00918-5103
(787) 438-9839
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23754
PR
207W00000X
Ophthalmology Physician
322102
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
23754
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23754
PHYSICIAN LICENSE
PR
01
—
322102
PHYSICIAN LICENSE
NY
Enumeration date
03/07/2017
Last updated
09/09/2024
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