Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 15825 | PR |
NPI | 1013928969 |
---|---|
Provider Name | William Felix Rios |
First Address | Toa Alta, PR 00954 |
Second Address | Toa Alta, PR 00954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2011485 | PREFERRED HEALTH (01) | |
9540009 | HUMANA (01) | |
A271 | FIRST MEDICAL (01) |