Provider Demographics
NPI:1760500789
Name:RIOS-PEREZ, JIMMI (MD)
Entity Type:Individual
Prefix:
First Name:JIMMI
Middle Name:
Last Name:RIOS-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6236
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6236
Mailing Address - Country:US
Mailing Address - Phone:956-631-0223
Mailing Address - Fax:956-631-0312
Practice Address - Street 1:1801 S 5TH ST
Practice Address - Street 2:SUITE 209
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-2927
Practice Address - Country:US
Practice Address - Phone:956-631-0223
Practice Address - Fax:956-631-0312
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2014-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP1812207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342742YZQGMedicare PIN
TX8DG594OtherBCBS TX
TX298293601Medicaid