Provider Demographics
NPI:1154363034
Name:GONZALEZ-RIOS, MARIA-DEL-CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA-DEL-CARMEN
Middle Name:
Last Name:GONZALEZ-RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 CALLE 13 SW
Mailing Address - Street 2:CAPARRA TERRACE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-2016
Mailing Address - Country:US
Mailing Address - Phone:787-756-3091
Mailing Address - Fax:787-756-3091
Practice Address - Street 1:915 CALLE 13 SW
Practice Address - Street 2:CAPARRA TERRACE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-2016
Practice Address - Country:US
Practice Address - Phone:787-756-3091
Practice Address - Fax:787-756-3091
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7435170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79496Medicare UPIN