Provider Demographics
NPI:1700854478
Name:RIGAL, RENE (MD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:
Last Name:RIGAL
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 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 GRAMPIAN BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1909
Practice Address - Country:US
Practice Address - Phone:570-326-8457
Practice Address - Fax:570-320-7989
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014915E208VP0000X, 207LP2900X
NDPT13632207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA541612OtherAETNA
PAF68253OtherHEALTHAMERICA
PA0014310680003Medicaid
PA077192OtherFIRST PRIORITY HEALTH
PA406327OtherHIGHMARK BLUE SHIELD
PA0014310680001Medicaid
PA1553615OtherUNITEDHEALTHCARE
PA50054356OtherCAPITAL BLUE CROSS
NDN721345Medicare PIN
PA406327Medicare PIN
PA406327OtherHIGHMARK BLUE SHIELD
PA077192OtherFIRST PRIORITY HEALTH
PA1553615OtherUNITEDHEALTHCARE