Healthcare Provider Details

I. General information

NPI: 1588368005
Provider Name (Legal Business Name): JONATHAN ALEMAN-RIOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44365 PINE DR
STERLING HEIGHTS MI
48313-1251
US

IV. Provider business mailing address

44365 PINE DR
STERLING HEIGHTS MI
48313-1251
US

V. Phone/Fax

Practice location:
  • Phone: 787-453-4785
  • Fax:
Mailing address:
  • Phone: 787-453-4785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301518292
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: