Healthcare Provider Details

I. General information

NPI: 1962467506
Provider Name (Legal Business Name): ERNEST F. RILLOS, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2281 W 24TH ST 15
YUMA AZ
85364-6154
US

IV. Provider business mailing address

PO BOX 27340
PHOENIX AZ
85061-7340
US

V. Phone/Fax

Practice location:
  • Phone: 928-317-8554
  • Fax: 928-726-9067
Mailing address:
  • Phone: 602-943-9200
  • Fax: 602-216-3000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERNEST FELIX RILLOS
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 928-317-8554