MEDICARE: RIOS CHIROPRACTIC CENTER

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
1	261Q00000X	Clinic/Center	111N00000X	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093882474	OTHER	PA	INDIVIDUAL PROVIDER #

General Provider Information

NPI Number	:	1225251598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIOS CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	7261 REVERE ST
Second Line	:	REVERE COMMONS BUILDING 1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1429
Country	:	US
Telephone Number	:	215-331-9350
Fax Number	:	215-331-9355

Provider Business Practice Location Address
First Line	:	7261 REVERE ST
Second Line	:	REVERE COMMONS BUILDING 1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1429
Country	:	US
Telephone Number	:	215-331-9350
Fax Number	:	215-331-9355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEPHEN M. RIOS
Credential	:	D.C
Telephone Number	:	213-331-9350

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

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Directions to “RIOS CHIROPRACTIC CENTER ” Practice Location

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