Provider Demographics
NPI:1639267701
Name:RINOR SERVICIOS MEDICOS CSP
Entity Type:Organization
Organization Name:RINOR SERVICIOS MEDICOS CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERALISTA
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-896-7338
Mailing Address - Street 1:AVENIDA EMERITO ESTRADA RIVERA 901
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-896-7338
Mailing Address - Fax:787-896-7338
Practice Address - Street 1:AVENIDA EMERITO ESTRADA RIVERA 901
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-896-7338
Practice Address - Fax:787-896-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8398208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR3261OtherPREFERRED
PR3261OtherPREFERRED
PR0029679Medicare ID - Type Unspecified