Provider Demographics
NPI:1417162884
Name:RIOS, IVETTE M (MD)
Entity Type:Individual
Prefix:DR
First Name:IVETTE
Middle Name:M
Last Name:RIOS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1620 CALLE GUADIANA
Mailing Address - Street 2:URB. EL CEREZAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3012
Mailing Address - Country:US
Mailing Address - Phone:787-782-8250
Mailing Address - Fax:787-782-5409
Practice Address - Street 1:CARRETERA #2
Practice Address - Street 2:BARRIO JUAN SANCHEZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-782-8250
Practice Address - Fax:787-792-7553
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR10785208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice