Provider Demographics
NPI:1417988320
Name:RIOS, OLGA VANESSA (MD)
Entity Type:Individual
Prefix:DR
First Name:OLGA
Middle Name:VANESSA
Last Name:RIOS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:57 CALLE ROEBELLINI
Mailing Address - Street 2:PALMA REAL
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5807
Mailing Address - Country:US
Mailing Address - Phone:787-786-8500
Mailing Address - Fax:787-786-8520
Practice Address - Street 1:10-7 AVE AGUAS BUENAS
Practice Address - Street 2:SANTA ROSA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6611
Practice Address - Country:US
Practice Address - Phone:787-786-8500
Practice Address - Fax:787-786-8520
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR163462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEI1708UMedicare UPIN