Provider Demographics
NPI:1205408390
Name:RIOS, RICARDO
Entity Type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:
Last Name:RIOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 WEST LOOP S STE 1500
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2116
Mailing Address - Country:US
Mailing Address - Phone:713-667-6777
Mailing Address - Fax:713-667-6796
Practice Address - Street 1:5420 WEST LOOP S STE 1500
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2116
Practice Address - Country:US
Practice Address - Phone:713-667-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program