Provider Demographics
NPI:1245335751
Name:RIOS, JUANA O (MD)
Entity type:Individual
Prefix:DR
First Name:JUANA
Middle Name:O
Last Name:RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 351597
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-7597
Mailing Address - Country:US
Mailing Address - Phone:305-443-5031
Mailing Address - Fax:305-443-1336
Practice Address - Street 1:8900 SW 117TH AVE
Practice Address - Street 2:SUITE B-208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2175
Practice Address - Country:US
Practice Address - Phone:305-595-3334
Practice Address - Fax:305-271-5362
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME35924208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95642WMedicare ID - Type UnspecifiedMEDICARE
FLE60439Medicare UPIN