Healthcare Provider Details

I. General information

NPI: 1245139492
Provider Name (Legal Business Name): DULCE IRENE RIOS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 N SCHNOOR AVE APT 212
MADERA CA
93637-4982
US

IV. Provider business mailing address

2210 N SCHNOOR AVE APT 212
MADERA CA
93637-4982
US

V. Phone/Fax

Practice location:
  • Phone: 559-474-5935
  • Fax:
Mailing address:
  • Phone: 559-474-5935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: