Provider Demographics
NPI:1306686720
Name:RIOS MENDEZ, NORBERTO (FNP-BC)
Entity type:Individual
Prefix:
First Name:NORBERTO
Middle Name:
Last Name:RIOS MENDEZ
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 COOP LA HACIENDA APT E
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-5499
Mailing Address - Country:US
Mailing Address - Phone:787-980-0466
Mailing Address - Fax:
Practice Address - Street 1:8 COOP LA HACIENDA APT E
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-5499
Practice Address - Country:US
Practice Address - Phone:787-980-0466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily