Basic Information
Provider Information
NPI: 1154375806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIUS-ARMENDARIZ
FirstName: ANA
MiddleName: DEL CARMEN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ANESTESIA RCM
Address2: PO BOX 29134
City: SAN JUAN
State: PR
PostalCode: 009290134
CountryCode: US
TelephoneNumber: 7877580640
FaxNumber: 7877581327
Practice Location
Address1: ANESTESIOLOGIA RCM SUITE 989
Address2: EDIF PRINCIPAL RCM CENTRO MEDICO PR, BO. MONACILLOS
City: RIO PIEDRAS
State: PR
PostalCode: 00935
CountryCode: US
TelephoneNumber: 7877580640
FaxNumber: 7877581327
Other Information
ProviderEnumerationDate: 05/19/2006
LastUpdateDate: 01/18/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X6789PRY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
2-820101PRSSSOTHER


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