Provider Demographics
NPI:1972041655
Name:RIOS ARCE, KIMBERLYN EILEEN (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLYN
Middle Name:EILEEN
Last Name:RIOS ARCE
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:HC 7 BOX 33270
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-9663
Mailing Address - Country:US
Mailing Address - Phone:787-363-6572
Mailing Address - Fax:
Practice Address - Street 1:HC 7 BOX 33270
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-9663
Practice Address - Country:US
Practice Address - Phone:787-363-6572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19561208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice