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NPI Code Detail

MEDICARE: DR. JUAN FRANCISCO RIOS MD

MEDICARE: DR. JUAN FRANCISCO 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
12084P0800XPsychiatry PhysicianME56342FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2L5069OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518966126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN FRANCISCO RIOS MD
Provider Business Mailing Address
First Line : PO BOX 100183
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-0183
Country : US
Telephone Number : 352-392-0140
Fax Number : 352-392-8217
Provider Business Practice Location Address
First Line : 600 E DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5925
Country : US
Telephone Number : 352-392-0140
Fax Number : 352-392-8217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 01/21/2022

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