Provider Demographics
NPI:1942762232
Name:RIOJAS, JUSTIN ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:ANTHONY
Last Name:RIOJAS
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 1:5330 N LOOP 1604 W STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4384
Mailing Address - Country:US
Mailing Address - Phone:512-731-4660
Mailing Address - Fax:726-204-6038
Practice Address - Street 1:5330 N LOOP 1604 W STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4384
Practice Address - Country:US
Practice Address - Phone:210-819-4562
Practice Address - Fax:726-204-6038
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS7773207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine