Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 28382 | WV |
N | 207RC0000X | Internist - Cardiovascular Disease | 28382 | WV |
NPI | 1154617678 |
---|---|
Provider Name | Dr. Carlos Alberto Rueda Rios |
First Address | Huntington, WV 25701-3579 |
Second Address | Huntington, WV 25701-3663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 24/11/2021 |