MEDICARE: MARILIA RIVERA-RIOS M.D.

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	207P00000X	Emergency Medicine Physician	46724	AZ
2	207P00000X	Emergency Medicine Physician	ME111196	FL
3	207P00000X	Emergency Medicine Physician	MD-44206	IA
4	207P00000X	Emergency Medicine Physician	42709	KY
5	207P00000X	Emergency Medicine Physician	4302072392	MI
6	207P00000X	Emergency Medicine Physician	MD2008-0401	NM
7	207P00000X	Emergency Medicine Physician	007338	PR
8	207P00000X	Emergency Medicine Physician	26169	WV
9	207P00000X	Emergency Medicine Physician	27760	TN
10	207P00000X	Emergency Medicine Physician	35.122508	OH
11	207P00000X	Emergency Medicine Physician	MD19556	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00254525	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4016617	OTHER	TN	BLUECROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4016614	OTHER	TN	BLUECROSS

General Provider Information

NPI Number	:	1801833249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILIA RIVERA-RIOS M.D.

Provider Business Mailing Address
First Line	:	12041 SW 32ND ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1619
Country	:	US
Telephone Number	:	954-809-5031
Fax Number	:

Provider Business Practice Location Address
First Line	:	12041 SW 32ND ST
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-1619
Country	:	US
Telephone Number	:	954-809-5031
Fax Number	:

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

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/17/2017

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Directions to “ MARILIA RIVERA-RIOS M.D.” Practice Location

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