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NPI Code Detail

MEDICARE: MAYRA NIEVES-RIOS M.D.

MEDICARE: MAYRA NIEVES-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
1208000000XPediatrics Physician14382PR
22080C0008XChild Abuse Pediatrics PhysicianP7171TX

General Provider Information

NPI Number : 1992789168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA NIEVES-RIOS M.D.
Provider Business Mailing Address
First Line : 809 SINGLETON BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75212-4014
Country : US
Telephone Number : 214-540-0300
Fax Number :
Provider Business Practice Location Address
First Line : 809 SINGLETON BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75212-4014
Country : US
Telephone Number : 214-540-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 06/27/2024

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Directions to “ MAYRA NIEVES-RIOS M.D.” Practice Location

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