Provider Demographics
NPI:1689085243
Name:RIO REHAB
Entity Type:Organization
Organization Name:RIO REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:956-847-4209
Mailing Address - Street 1:6 W. LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584
Mailing Address - Country:US
Mailing Address - Phone:956-847-4209
Mailing Address - Fax:956-847-4332
Practice Address - Street 1:6 W. LINCOLN ST
Practice Address - Street 2:STE. 2
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584
Practice Address - Country:US
Practice Address - Phone:956-847-4209
Practice Address - Fax:956-847-4332
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERONICAS PHYSICAL THERAPY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673000001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty