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NPI Code Detail

MEDICARE: VALERY Y RIOS

MEDICARE:   VALERY Y RIOS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1295493740
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERY Y RIOS
Provider Business Mailing Address
First Line : 2124 BURTON DR APT 202
Second Line :
City : AUSTIN
State : TX
Zip : 78741-4171
Country : US
Telephone Number : 512-961-9315
Fax Number :
Provider Business Practice Location Address
First Line : 2124 BURTON DR APT 202
Second Line :
City : AUSTIN
State : TX
Zip : 78741-4171
Country : US
Telephone Number : 512-961-9315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2021

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Directions to “ VALERY Y RIOS ” Practice Location

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