Healthcare Provider Details

I. General information

NPI: 1295751907
Provider Name (Legal Business Name): RICARDO ADRIAN RIUS M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3340 WOODBURN ROAD
ANNANDALE VA
22003-1298
US

IV. Provider business mailing address

3340 WOODBURN RD
ANNANDALE VA
22003-1202
US

V. Phone/Fax

Practice location:
  • Phone: 703-207-7881
  • Fax: 703-289-2764
Mailing address:
  • Phone: 703-207-7881
  • Fax: 703-289-2764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0059253
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101233004
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: