=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053665679
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RIOS LABORATORY INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2012
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BO. SONADOR CARR. 109 KM. 25.0
-----------------------------------------------------
City | SAN SEBASTIAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00685-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-546-4377
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | P.O. BOX 528
-----------------------------------------------------
City | SAN SEBASTIAN
-----------------------------------------------------
State | PUERTO RICO
-----------------------------------------------------
Zip | 00685
-----------------------------------------------------
Country | UM
-----------------------------------------------------
Telephone | 787-896-2329
-----------------------------------------------------
Fax | 787-896-2329
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. MARIA DEL CARMEN RODRIGUEZ
-----------------------------------------------------
Credential | M.T. A.S.C.P.
-----------------------------------------------------
Telephone | 787-546-4377
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number | 1159
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------