Provider Demographics
NPI:1467508622
Name:RIOS ALAMEDA, ENRIQUE L (MD)
Entity Type:Individual
Prefix:
First Name:ENRIQUE
Middle Name:L
Last Name:RIOS ALAMEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1291
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-1291
Mailing Address - Country:US
Mailing Address - Phone:787-409-6154
Mailing Address - Fax:787-884-7462
Practice Address - Street 1:1 CALLE JOSE D CANDELAS
Practice Address - Street 2:MANATI MEDICAL PLAZA SUITE 105
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-5507
Practice Address - Country:US
Practice Address - Phone:787-884-5635
Practice Address - Fax:787-884-7462
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13151207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology