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1760899470

NPI Code Detail

MEDICARE: RADMERY RIOS OTR/L

MEDICARE: RADMERY RIOS OTR/L

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	224Z00000X	Occupational Therapy Assistant	13243	FL
2	225X00000X	Occupational Therapist

Other Identifiers

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

General Provider Information

NPI Number	:	1760899470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADMERY RIOS OTR/L

Provider Business Mailing Address
First Line	:	2564 W 72ND PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6507
Country	:	US
Telephone Number	:	786-334-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2564 W 72ND PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-6507
Country	:	US
Telephone Number	:	786-334-3125
Fax Number	:

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

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	01/09/2020

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Directions to “ RADMERY RIOS OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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