Provider Demographics
NPI:1932301892
Name:ALAMEDA - RIOS, YADIEL ALEXIS (MD)
Entity Type:Individual
Prefix:DR
First Name:YADIEL
Middle Name:ALEXIS
Last Name:ALAMEDA - 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 1:1500 AVE. LOS ROMEROS,
Mailing Address - Street 2:COND. JARDINES MONTEHIEDRA, APT. 1212
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-604-6493
Mailing Address - Fax:
Practice Address - Street 1:CARR 2, KM 47.7
Practice Address - Street 2:DOCTORS' CENTER, DR. PEDRO BLANCO LUGO, SUITE 302
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16503207Y00000X
FLME104110207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology