Provider Demographics
NPI:1760030829
Name:RIOS-GARCIA, VIENNA LORRAINE (RN)
Entity Type:Individual
Prefix:
First Name:VIENNA
Middle Name:LORRAINE
Last Name:RIOS-GARCIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 GATEWAY BLVD W STE 368
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3353
Mailing Address - Country:US
Mailing Address - Phone:915-496-7713
Mailing Address - Fax:915-600-5486
Practice Address - Street 1:5959 GATEWAY BLVD W STE 368
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3353
Practice Address - Country:US
Practice Address - Phone:915-496-7713
Practice Address - Fax:915-600-5486
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health