Provider Demographics
NPI:1841385838
Name:DEL RIO & ASSOCIATES PA
Entity Type:Organization
Organization Name:DEL RIO & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL RIO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-266-4071
Mailing Address - Street 1:5975 SUNSET DR
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5166
Mailing Address - Country:US
Mailing Address - Phone:305-668-4909
Mailing Address - Fax:305-668-4989
Practice Address - Street 1:5975 SUNSET DR
Practice Address - Street 2:SUITE 404
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5166
Practice Address - Country:US
Practice Address - Phone:305-668-4909
Practice Address - Fax:305-668-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00112441223G0001X
FLDN117961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty