Provider Demographics
NPI:1720045404
Name:RYSZ, BARBARA (MD)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:RYSZ
Suffix:
Gender:F
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 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:787-834-0225
Mailing Address - Fax:787-831-4060
Practice Address - Street 1:55 CALLE MEDITACION
Practice Address - Street 2:CENTRO SERVICIOS MEDICOS 5A
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4882
Practice Address - Country:US
Practice Address - Phone:787-834-0225
Practice Address - Fax:787-831-4060
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13713207V00000X
IA31025207V00000X
ARE1027207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G35661Medicare UPIN