Provider Demographics
NPI:1649351768
Name:HERNANDEZ-RIOS, LUIS (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:
Last Name:HERNANDEZ-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 1465
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1465
Mailing Address - Country:US
Mailing Address - Phone:787-785-6410
Mailing Address - Fax:787-785-6468
Practice Address - Street 1:B1 CALLE SANTA CRUZ STE 502
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-6946
Practice Address - Country:US
Practice Address - Phone:787-785-6410
Practice Address - Fax:787-785-6468
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR010317207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology