Provider Demographics
NPI:1649736331
Name:RIOS JR, JULIO (FNP-C)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:RIOS JR
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 S EXPRESSWAY 77 STE 205
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-3222
Mailing Address - Country:US
Mailing Address - Phone:956-421-2757
Mailing Address - Fax:956-421-2787
Practice Address - Street 1:5505 S EXPRESSWAY 77 STE 205
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-3222
Practice Address - Country:US
Practice Address - Phone:956-421-2757
Practice Address - Fax:956-421-2787
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140012363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty