Provider Demographics
NPI:1568458131
Name:RIJO, ROSSVELT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSSVELT
Middle Name:
Last Name:RIJO
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:PO BOX 250067
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0067
Mailing Address - Country:US
Mailing Address - Phone:787-831-4503
Mailing Address - Fax:787-831-4503
Practice Address - Street 1:CALLE POST S
Practice Address - Street 2:600
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1729
Practice Address - Country:US
Practice Address - Phone:787-831-4503
Practice Address - Fax:787-831-4503
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9690208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR201812OtherPREFERRED HEALTH
PR7420013OtherHUMANA HEALTH PLAN PR
PR100297WOtherMMM HEALTHCARE
PR81794RIOtherTRIPLE S, INC
PR7420013OtherHUMANA HEALTH PLAN PR
PR81794Medicare ID - Type Unspecified