Provider Demographics
NPI:1962411835
Name:RIOS GONZALEZ, FELIX F
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:F
Last Name:RIOS GONZALEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:FELIX
Other - Middle Name:F
Other - Last Name:RIOS GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 70344
Mailing Address - Street 2:PMB 354
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-9344
Mailing Address - Country:US
Mailing Address - Phone:787-754-8500
Mailing Address - Fax:787-763-2772
Practice Address - Street 1:AVE, AMERICO MIRANDA
Practice Address - Street 2:SUITE 9
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-8344
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:787-763-2772
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12708174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist