Provider Demographics
NPI:1205989324
Name:RIO, ELISE APRIL (DC)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:APRIL
Last Name:RIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 S GROVE AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-4586
Mailing Address - Country:US
Mailing Address - Phone:909-947-7777
Mailing Address - Fax:909-947-7703
Practice Address - Street 1:1525 S GROVE AVE
Practice Address - Street 2:SUITE #3
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-4586
Practice Address - Country:US
Practice Address - Phone:909-947-7777
Practice Address - Fax:909-947-7703
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23098111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor