Healthcare Provider Details

I. General information

NPI: 1225238058
Provider Name (Legal Business Name): JULIE MARIE RIOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST STE 5150
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKET ST STE 5150
PITTSBURGH PA
15213-3108
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-8438
  • Fax: 513-475-7601
Mailing address:
  • Phone: 412-641-8438
  • Fax: 513-475-7601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number35-091502
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD474095
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: