Healthcare Provider Details

I. General information

NPI: 1194663500
Provider Name (Legal Business Name): MATTHEW RIOS MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MATEO RIOS MD, MSC

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH STREET, 4TH FLOOR
SAN FRANCISCO CA
94143-0110
US

IV. Provider business mailing address

812 VALLEY RD
ELKTON MD
21921-2971
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-5001
  • Fax:
Mailing address:
  • Phone: 302-528-6214
  • 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 State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: