Provider Demographics
NPI:1629125349
Name:RIO ENTERPRISES LLC
Entity Type:Organization
Organization Name:RIO ENTERPRISES LLC
Other - Org Name:RIO MEDICAL SUPPLIES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMER
Authorized Official - Middle Name:W
Authorized Official - Last Name:MIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-931-9600
Mailing Address - Street 1:3535 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3141
Mailing Address - Country:US
Mailing Address - Phone:703-931-9600
Mailing Address - Fax:703-931-9616
Practice Address - Street 1:3535 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3141
Practice Address - Country:US
Practice Address - Phone:703-931-9600
Practice Address - Fax:703-931-9616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009314332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5503760001Medicare ID - Type Unspecified