Provider Demographics
NPI:1548376924
Name:RIEGA ECHEVARRIA, MAGDA A (MD)
Entity type:Individual
Prefix:
First Name:MAGDA
Middle Name:A
Last Name:RIEGA ECHEVARRIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAGDA
Other - Middle Name:A
Other - Last Name:RIEGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2201 ALBORADA CARR14
Mailing Address - Street 2:APT 11103
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-501-8182
Mailing Address - Fax:
Practice Address - Street 1:1010 PASEO DEL VETERANO
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2001
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR178392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry