Provider Demographics
NPI:1568405033
Name:RIOS, MARICEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARICEL
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2052 CALLE SATURNO
Mailing Address - Street 2:APOLO DEVELOPMENT
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5027
Mailing Address - Country:US
Mailing Address - Phone:787-525-2321
Mailing Address - Fax:787-708-8767
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:116A PSYCHIATRY DEPARTMENT
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-4555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR121772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry