Healthcare Provider Details

I. General information

NPI: 1336029230
Provider Name (Legal Business Name): DANIEL RIOS GARCIA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9520 W THOMAS RD 100
PHOENIX AZ
85037
US

IV. Provider business mailing address

9250 W THOMAS RD STE 100
PHOENIX AZ
85037-3383
US

V. Phone/Fax

Practice location:
  • Phone: 602-610-1191
  • Fax:
Mailing address:
  • Phone: 623-349-1711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number221078
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: