Provider Demographics
NPI:1891140455
Name:LIBIA R RIOS DDS PA
Entity Type:Organization
Organization Name:LIBIA R RIOS DDS PA
Other - Org Name:LIRIOS DENTAL STUDIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIBIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-378-1906
Mailing Address - Street 1:8901 SW 157TH AVE
Mailing Address - Street 2:#12
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-1102
Mailing Address - Country:US
Mailing Address - Phone:786-536-5754
Mailing Address - Fax:786-409-5894
Practice Address - Street 1:8901 SW 157TH AVE
Practice Address - Street 2:#12
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1102
Practice Address - Country:US
Practice Address - Phone:786-536-5754
Practice Address - Fax:786-409-5894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty