Provider Demographics
NPI:1285910117
Name:DEL RISCO & ASSOCIATES, INC
Entity type:Organization
Organization Name:DEL RISCO & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL RISCO
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-491-8002
Mailing Address - Street 1:9301 SW 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7574
Mailing Address - Country:US
Mailing Address - Phone:305-491-8002
Mailing Address - Fax:
Practice Address - Street 1:9301 SW 84TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7574
Practice Address - Country:US
Practice Address - Phone:305-491-8002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2015-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty