Healthcare Provider Details

I. General information

NPI: 1710672563
Provider Name (Legal Business Name): ERIKA J RIOS-CASILLAS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 S GRAND AVE
ROSWELL NM
88203-5407
US

IV. Provider business mailing address

PO BOX 843
PORTALES NM
88130-0843
US

V. Phone/Fax

Practice location:
  • Phone: 575-623-3255
  • Fax: 575-625-9901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2026-0115
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: