Individual
MRS. AIDA M RIOS ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2T1 EMILIANO POL AVE, URB LA CUMBRE, SAN JUAN, PR 00926
(787) 720-1625
Mailing address
PO BOX 270269, SAN JUAN, PR 00927-0269
(787) 720-1625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1438
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206551
UTI OF PR
—
01
—
41052
CRUZ AZUL
PR
01
—
41300
TRIPLE S
PR
01
—
9260015
HUMANA
PR
Enumeration date
01/23/2007
Last updated
07/08/2007
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