Individual provider Active NPI

Justo Eduardo Rios Sr., PA

  • General Practice Physician
  • Anasco, PR
National Provider Identifier
1558084442
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023743 Issued in PR
Practice address
Carr 402 KM 2.2
Bo Marias
Anasco, PR 00610
Phone
(787) 390-6889
NPI assigned
Sep 26, 2022
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023743 PR Primary

Addresses

Primary practice location

Carr 402 KM 2.2
Bo Marias
Anasco, PR 00610

Mailing address

PO Box 650
Aibonito, PR 00705-0650

Other practice location 1

Carr 402 Km 1.8
Bo Marias
Anasco, PR 00610
Phone (787) 534-3789

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
I20251118005113 PR Practitioner - General Practice 3072004951 Reassigns benefits to 1 organization
Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

326 Calle Jesus Ramos
Moca, PR 00676-4576
Phone (787) 390-6889

Calle Francia
1551 Apt 4a
San Juan, PR 00911-0000

Condominio Los Almendros
Apt B 2
Aguada, PR 00602

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023743PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Primary Care LLC General Practice CurrentSince Feb 8, 2026 Accepting new patients
Aoa Ophthalmic Group LLC PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1558084442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007050650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 402 KM 2.2",
            "address_2": "BO MARIAS",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-390-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 402 Km 1.8",
            "address_2": "Bo Marias",
            "address_purpose": "LOCATION",
            "city": "Anasco",
            "state": "PR",
            "postal_code": "00610",
            "country_code": "US",
            "telephone_number": "787-534-3789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "JUSTO",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.