Provider Demographics
NPI:1811097959
Name:DEL RISCO, ARQUIMEDES GUILLERMO (MD)
Entity type:Individual
Prefix:
First Name:ARQUIMEDES
Middle Name:GUILLERMO
Last Name:DEL RISCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 CALLE 8
Mailing Address - Street 2:URBANIZACION VILLA NEVAREZ
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5219
Mailing Address - Country:US
Mailing Address - Phone:787-557-8583
Mailing Address - Fax:
Practice Address - Street 1:1042 CALLE 8
Practice Address - Street 2:URBANIZACION VILLA NEVAREZ
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00927-5219
Practice Address - Country:US
Practice Address - Phone:787-557-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16507208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice