Provider Demographics
NPI:1942267695
Name:EDUARDO A. RIOS
Entity Type:Organization
Organization Name:EDUARDO A. RIOS
Other - Org Name:LAB. CLINICO CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:ALFONSO
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-870-3760
Mailing Address - Street 1:PO BOX 902
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00954-0902
Mailing Address - Country:US
Mailing Address - Phone:787-870-3760
Mailing Address - Fax:787-870-2735
Practice Address - Street 1:32 CALLE ANTONIO LOPEZ
Practice Address - Street 2:
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-870-3760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0634291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
118465552OtherMAPFRE
118465552OtherCIGNA
118465552OtherMCS CLASSIC CARE
20363OtherAMERICAN HEALTH
118465552OtherPALIC
2329OtherFIRST MEDICAL
051180OtherCRUZ AZUL
20171OtherPREFERRED MEDICARE CHOICE
7580015OtherHUMANA INS
118465552OtherGLOBAL INS
118465552OtherMAPFRE EXCEL
30467OtherSSS OPTIMA
7580015OtherHUMANA HEALTH
PR051180OtherCNZVL
118465552OtherCOSVI
L0634OtherUIA
118465552OtherMCS
PR30467OtherSSS
40644OtherPREFERRED HEALTH
118465552OtherMCS CLASSIC CARE