Healthcare Provider Details

I. General information

NPI: 1891086245
Provider Name (Legal Business Name): MRS. MARIBEL RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 173 LA PLATA AIBONITO PUERTO RICO
AIBONITO PR
00786
US

IV. Provider business mailing address

CARR 173 LA PLATA AIBONITO PUERTO RICO
AIBONITO PR
00786
US

V. Phone/Fax

Practice location:
  • Phone: 787-383-9973
  • Fax:
Mailing address:
  • Phone: 787-383-9738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: