Organization
PASTOR H. RIOS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASTOR H RIOS M.D. (M.D.)
(386) 755-0500
Entity
Organization
Contact information
Practice address
449 SE BAYA DRIVE, LAKE CITY, FL 32025
(386) 755-0500
(386) 755-9217
Mailing address
449 SE BAYA DRIVE, LAKE CITY, FL 32025
(386) 755-0500
(386) 755-9217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0045687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030461
AVMED PROVIDER NUMBER
FL
01
—
07742
BCBS PROVIDER NUMBER
FL
05
—
257957000
—
FL
Enumeration date
10/02/2006
Last updated
06/17/2008
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