Provider Demographics
NPI:1902107238
Name:RIOS-GUADARRAMA, HECTOR E (TR)
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:E
Last Name:RIOS-GUADARRAMA
Suffix:
Gender:M
Credentials:TR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111STREET
Mailing Address - Street 2:BO. CAGUANA
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-9728
Mailing Address - Country:US
Mailing Address - Phone:787-207-0992
Mailing Address - Fax:
Practice Address - Street 1:129 STREET
Practice Address - Street 2:BOX 9550
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-878-3552
Practice Address - Fax:787-879-8633
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist