Provider Demographics
NPI:1811988199
Name:RIOS-ENRIQUEZ, MARIA EUGENIA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:EUGENIA
Last Name:RIOS-ENRIQUEZ
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 328
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0328
Mailing Address - Country:US
Mailing Address - Phone:787-264-2204
Mailing Address - Fax:787-264-2662
Practice Address - Street 1:HERMAN ALVAREZ # 100
Practice Address - Street 2:PLAZA METROPOLITANA SUITE 205
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-264-2204
Practice Address - Fax:787-264-2662
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13271207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0022340Medicare ID - Type Unspecified
I16451Medicare UPIN