Provider Demographics
NPI:1780711630
Name:BATENGA, RIZALINA R (MD)
Entity type:Individual
Prefix:
First Name:RIZALINA
Middle Name:R
Last Name:BATENGA
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:PO BOX 5425
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-5425
Mailing Address - Country:US
Mailing Address - Phone:340-778-5756
Mailing Address - Fax:
Practice Address - Street 1:ISLAND MEDICAL CENTER
Practice Address - Street 2:SUITE 302
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00823
Practice Address - Country:US
Practice Address - Phone:340-778-5756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI169208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIVI LICENSEOther169