Provider Demographics
NPI:1568440535
Name:JOSE RIVERA DEL RIO CARDIOLOGY SERVICES PSC
Entity Type:Organization
Organization Name:JOSE RIVERA DEL RIO CARDIOLOGY SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA MEJIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-404-6839
Mailing Address - Street 1:PASEO SAN PABLO NO 100
Mailing Address - Street 2:SUITE 401 ARTURO CADILLA VINAS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7022
Mailing Address - Country:US
Mailing Address - Phone:787-780-1643
Mailing Address - Fax:787-798-0900
Practice Address - Street 1:PASEO SAN PABLO NO 100
Practice Address - Street 2:SUITE 401 ARTURO CADILLA VINAS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7022
Practice Address - Country:US
Practice Address - Phone:787-780-1643
Practice Address - Fax:787-798-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty