Provider Demographics
NPI:1376919795
Name:RIOS, MARIA D
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 JORGEANNA ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-0753
Mailing Address - Country:US
Mailing Address - Phone:956-598-7247
Mailing Address - Fax:956-598-7247
Practice Address - Street 1:1911 JORGEANNA ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-0753
Practice Address - Country:US
Practice Address - Phone:956-458-4029
Practice Address - Fax:956-598-7247
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center