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NPI Code Detail

MEDICARE: JOSE RIOS MD

MEDICARE: JOSE RIOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician21070AZ
2207VX0000XObstetrics Physician21079AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
221079OTHERAZAZ MEDICAL BOARD

General Provider Information

NPI Number : 1124099940
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE RIOS MD
Provider Business Mailing Address
First Line : 225 W IRVINGTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85714-3054
Country : US
Telephone Number : 520-884-7304
Fax Number : 520-623-0992
Provider Business Practice Location Address
First Line : 225 W IRVINGTON RD
Second Line :
City : TUCSON
State : AZ
Zip : 85714-3054
Country : US
Telephone Number : 520-884-7304
Fax Number : 520-623-0992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 09/13/2021

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Directions to “ JOSE RIOS MD” Practice Location

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