Healthcare Provider Details

I. General information

NPI: 1841261047
Provider Name (Legal Business Name): ARMANDO RIEGA TROYA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 08/25/2022
Certification Date: 08/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 149 KM. 58.9
VILLALBA PR
00766
US

IV. Provider business mailing address

PO BOX 1507
VILLALBA PR
00766-1507
US

V. Phone/Fax

Practice location:
  • Phone: 787-847-1030
  • Fax: 787-847-1045
Mailing address:
  • Phone: 787-847-1030
  • Fax: 787-847-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6325
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: