Provider Demographics
NPI:1295751907
Name:RIUS, RICARDO ADRIAN (MD, PHD)
Entity type:Individual
Prefix:
First Name:RICARDO
Middle Name:ADRIAN
Last Name:RIUS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 WOODBURN RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1202
Mailing Address - Country:US
Mailing Address - Phone:703-207-7881
Mailing Address - Fax:703-289-2764
Practice Address - Street 1:3340 WOODBURN ROAD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1298
Practice Address - Country:US
Practice Address - Phone:703-207-7881
Practice Address - Fax:703-289-2764
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00592532084P0800X
VA01012330042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC492000Medicare PIN
MDI00291Medicare UPIN
MDH662T508Medicare ID - Type Unspecified