Individual provider Active NPI

Eduardo Alfonso Rios Sr., MD

  • General Practice Physician
  • Toa Alta, PR
National Provider Identifier
1174580856
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15565 Issued in PR
Practice address
32 Antonio Lopez
Toa Alta, PR 00954-0902
Phone
(787) 870-3760
Fax
(787) 870-2735
NPI assigned
Apr 27, 2006
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15565 PR Primary
Other Specialist/Technologist 246Z00000X Z022 PR

Addresses

Primary practice location

32 Antonio Lopez
Toa Alta, PR 00954-0902

Mailing address

PO Box 902
Toa Alta, PR 00954-0902
Phone (787) 870-3760

Other identifiers 6

IdentifierTypeStateIssuer
2011301OtherPREFERRED HEALTH
22605OtherTRIPLE S
22605R1OtherPRSSS
3115565OtherUIA
100553OtherPRCRUZ AZUL
825424OtherMEDICARE MUCHCO MAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929000691 PR Practitioner - General Practice 3274502968 Practice locations: Toa Alta, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32 Antonio Lopez
Toa Alta, PR 00953
Phone (787) 870-3760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Z022PRMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eduardo a. Rios Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1174580856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540902",
            "telephone_number": "787-870-3760",
            "fax_number": "787-870-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ANTONIO LOPEZ",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540902",
            "telephone_number": "787-870-3760",
            "fax_number": "787-870-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "EDUARDO",
        "middle_name": "ALFONSO",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15565",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "Z022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "2011301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "22605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "22605R1",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3115565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "100553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHCO MAS",
            "identifier": "825424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

Verify at the official NPI Registry.