MEDICARE: MARLEN VELIZ RIOS

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1528813144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEN VELIZ RIOS

Provider Business Mailing Address
First Line	:	7201 NW 174TH TER APT 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-1102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 NW 174TH TER APT 207
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-1102
Country	:	US
Telephone Number	:	786-226-7057
Fax Number	:

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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Directions to “ MARLEN VELIZ RIOS ” Practice Location

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