Active NPI
Sandra Idanis Rios, M.D.
- Family Medicine Physician
- Vega Alta, PR
National Provider Identifier
1285619437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11637
- Practice address
- Calle Munoz Rivera
#4
Vega Alta, PR 00692-0000 - Phone
- (787) 883-2732
- Fax
- (787) 883-2732
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11637 | PR | Primary |
Addresses
Primary practice location
Calle Munoz Rivera
#4
Vega Alta, PR 00692-0000
Mailing address
PMB 246
P.O. Box 4002
Vega Alta, PR 00692-4002
Phone (787) 883-2732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120308000481 | PR | Practitioner - General Practice | 4183883259 | Practice locations: Vega Alta, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11637 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1285619437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 246",
"address_2": "P.O. BOX 4002",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006924002",
"telephone_number": "787-883-2732",
"fax_number": "787-883-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE MUNOZ RIVERA",
"address_2": "#4",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006920000",
"telephone_number": "787-883-2732",
"fax_number": "787-883-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "SANDRA",
"middle_name": "IDANIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "11637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.