Provider Demographics
NPI:1134156789
Name:RODRIGUEZ RIOS, GERMAN (MD)
Entity type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:
Last Name:RODRIGUEZ RIOS
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:PO BOX 250130
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0130
Mailing Address - Country:US
Mailing Address - Phone:787-882-3250
Mailing Address - Fax:787-882-3250
Practice Address - Street 1:CARR 107 KM 0.4
Practice Address - Street 2:AVE. ALBIZU CAMPOS NUM 167
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-0167
Practice Address - Country:US
Practice Address - Phone:787-882-3250
Practice Address - Fax:787-882-3250
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11456208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG42902Medicare UPIN