Provider Demographics
NPI:1275322299
Name:CONSULTORIO MEDICO RIOS LA LUZ
Entity type:Organization
Organization Name:CONSULTORIO MEDICO RIOS LA LUZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS LA LUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-925-9080
Mailing Address - Street 1:105 ESTANCIAS DE SANTA MARIA
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-4267
Mailing Address - Country:US
Mailing Address - Phone:787-925-9080
Mailing Address - Fax:
Practice Address - Street 1:16 CALLE EXT CORCHADO
Practice Address - Street 2:
Practice Address - City:CIALES
Practice Address - State:PR
Practice Address - Zip Code:00638-3206
Practice Address - Country:US
Practice Address - Phone:787-925-9080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty