Provider Demographics
NPI:1114088747
Name:DEL RIO, FELIX G (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:G
Last Name:DEL RIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 3138
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-3138
Mailing Address - Country:US
Mailing Address - Phone:787-786-6792
Mailing Address - Fax:787-798-5253
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:DR. ARTURO CADILLA BUILDING, SUITE 202
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-786-6792
Practice Address - Fax:787-798-5253
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR11662207RC0000X
NY190399207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88512Medicare ID - Type Unspecified
PRF53193Medicare UPIN