Provider Demographics
NPI:1689672925
Name:RIVERA DEL RIO, JOSE R (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:R
Last Name:RIVERA DEL RIO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 PASEO SAN PABLO
Mailing Address - Street 2:SUITE 401, ARTURO CADILLA VINAS BUILDING
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7019
Mailing Address - Country:US
Mailing Address - Phone:787-786-7391
Mailing Address - Fax:787-798-0900
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:SUITE 401, ARTURO CADILLA VINAS BUILDING
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7019
Practice Address - Country:US
Practice Address - Phone:787-786-7391
Practice Address - Fax:787-798-0900
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR6098207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC78235Medicare UPIN