MEDICARE: MARIA CARMEN RIOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	7528	PR

General Provider Information

NPI Number	:	1518169796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA CARMEN RIOS MD

Provider Business Mailing Address
First Line	:	10708 COTTONWOOD WAY
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-1309
Country	:	US
Telephone Number	:	410-730-7170
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 AVE BORINQUEN
Second Line	:	BO. OBRERO
City	:	SAN JUAN
State	:	PR
Zip	:	00915-3824
Country	:	US
Telephone Number	:	787-268-4171
Fax Number	:	787-268-4187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	07/08/2007

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Directions to “ MARIA CARMEN RIOS MD” Practice Location

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