Healthcare Provider Details

I. General information

NPI: 1124818190
Provider Name (Legal Business Name): RT MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE PEDRO ALBIZU CAMPOS
AGUAS BUENAS PR
00703-3102
US

IV. Provider business mailing address

PO BOX 243
AGUAS BUENAS PR
00703-0243
US

V. Phone/Fax

Practice location:
  • Phone: 787-732-8595
  • Fax:
Mailing address:
  • Phone: 787-732-8595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: NERY RIVERA CABALLERO
Title or Position: OWNER
Credential: MD
Phone: 939-251-4210