Healthcare Provider Details

I. General information

NPI: 1962411835
Provider Name (Legal Business Name): DR. FELIX F RIOS GONZALEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FELIX F RIOS GONZALEZ M.D.

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 06/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE, AMERICO MIRANDA SUITE 9
SAN JUAN PR
00936-8344
US

IV. Provider business mailing address

PO BOX 70344 PMB 354
SAN JUAN PR
00936-9344
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-8500
  • Fax: 787-763-2772
Mailing address:
  • Phone: 787-754-8500
  • Fax: 787-763-2772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number12708
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: