MEDICARE: MR. FRANCISCO EZEQUIEL 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
1	163WA2000X	Administrator Registered Nurse	759839	TX

General Provider Information

NPI Number	:	1477400612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCISCO EZEQUIEL RIOS

Provider Business Mailing Address
First Line	:	506 S MAIN ST STE 1000
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-1267
Country	:	US
Telephone Number	:	915-276-9088
Fax Number	:	575-525-1049

Provider Business Practice Location Address
First Line	:	506 S MAIN ST STE 1000
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88001-1267
Country	:	US
Telephone Number	:	915-276-9088
Fax Number	:	575-525-1049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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