Provider Demographics
NPI:1487926523
Name:RIONDA ANESTHESIA SERVICES, LLC
Entity type:Organization
Organization Name:RIONDA ANESTHESIA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIONDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-7162
Mailing Address - Street 1:2972 NW 99TH PL
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1091
Mailing Address - Country:US
Mailing Address - Phone:305-796-7162
Mailing Address - Fax:
Practice Address - Street 1:2972 NW 99TH PL
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1091
Practice Address - Country:US
Practice Address - Phone:305-796-7162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68604207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32102JMedicare PIN