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General NPI Number Information
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NPI Number | 1083276034
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Entity Type | Individual
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Provider Name | LUIS ENRIQUE RIOS BRIGNONI ARNP
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Gender | Male
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Dates
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Enumeration Date | 06/30/2019
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Last Update Date | 06/30/2019
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Provider Practice Location Address
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Address Line | 6328 GUNN HWY STE C
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City | TAMPA
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State | FL
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Zip | 33625-4101
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Country | US
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Telephone | 813-610-9510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | RINCON
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State | PR
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Zip | 00677-0209
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Country | US
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Telephone | 787-371-1667
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11001427
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License Number State | FL
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