Provider Demographics
NPI:1184285157
Name:RIOS MORALES, REINALDO (DMD)
Entity type:Individual
Prefix:DR
First Name:REINALDO
Middle Name:
Last Name:RIOS MORALES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 ARAGON AVE APT 708E
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5070
Mailing Address - Country:US
Mailing Address - Phone:305-744-4620
Mailing Address - Fax:
Practice Address - Street 1:333 ARAGON AVE APT 708E
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5070
Practice Address - Country:US
Practice Address - Phone:305-744-4620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL242061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice