Healthcare Provider Details

I. General information

NPI: 1538534227
Provider Name (Legal Business Name): RISO MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2015
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ZONA INDUSTRIAL VICTOR ROJAS 2 CARR 129
ARECIBO PR
00612
US

IV. Provider business mailing address

43 CALLE HUCARES
ARECIBO PR
00612-3562
US

V. Phone/Fax

Practice location:
  • Phone: 716-908-0834
  • Fax:
Mailing address:
  • Phone: 716-908-0834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number18790
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number18790
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number17234
License Number StatePR

VIII. Authorized Official

Name: VICTOR RAFAEL RIVERO
Title or Position: PRESIDENT
Credential:
Phone: 716-908-0892