Provider Demographics
NPI:1487628210
Name:BAEZ-RIOS, GILBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:GILBERTO
Middle Name:
Last Name:BAEZ-RIOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 CALLE DE DIEGO E
Mailing Address - Street 2:CPR PROFESSIONAL BUILDING STE. 203
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5078
Mailing Address - Country:US
Mailing Address - Phone:787-831-1175
Mailing Address - Fax:188-863-2275
Practice Address - Street 1:55 CALLE DE DIEGO E
Practice Address - Street 2:CPR PROFESSIONAL BUILDING STE. 203
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5078
Practice Address - Country:US
Practice Address - Phone:787-831-1175
Practice Address - Fax:188-863-2275
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13305207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0090444Medicare PIN
PRH55197Medicare UPIN