MEDICARE: ANGELICA 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	101YM0800X	Mental Health Counselor		NM

General Provider Information

NPI Number	:	1497610158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA RIOS

Provider Business Mailing Address
First Line	:	10655 GENTRY LN SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87121-3687
Country	:	US
Telephone Number	:	505-218-7321
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 TAYLOR RANCH RD NW STE C8
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2962
Country	:	US
Telephone Number	:	505-218-7321
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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Directions to “ ANGELICA RIOS ” Practice Location

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