Provider Demographics
NPI:1760624886
Name:RIOS, ILKA C (DMD)
Entity Type:Individual
Prefix:DR
First Name:ILKA
Middle Name:C
Last Name:RIOS
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:D2 CALLE 3
Mailing Address - Street 2:MANSIONES DE GUAYNABO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5224
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:787-282-7117
Practice Address - Street 1:D2 CALLE 3
Practice Address - Street 2:MANSIONES DE GUAYNABO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5224
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:787-282-7117
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR11551223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology