Provider Demographics
NPI:1609182930
Name:DRA BARBARA RYSZ GINECOLOGA- OBSTETRA CSP
Entity Type:Organization
Organization Name:DRA BARBARA RYSZ GINECOLOGA- OBSTETRA CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RYSZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-834-0225
Mailing Address - Street 1:PO BOX 6427
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6427
Mailing Address - Country:US
Mailing Address - Phone:787-806-8049
Mailing Address - Fax:787-831-4060
Practice Address - Street 1:14 CALLE PERAL N
Practice Address - Street 2:SUITE 1D
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4861
Practice Address - Country:US
Practice Address - Phone:787-834-0225
Practice Address - Fax:787-831-4060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13713207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG35661Medicare UPIN