Individual
ANTONIO L RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(404) 885-9675
(404) 875-4017
Mailing address
3260 SPAIN RD, SNELLVILLE, GA 30039-8574
(678) 361-3584
(770) 558-3419
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN037456
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000550459E
—
GA
05
—
000550459G
—
GA
01
—
1487691580
NPI
GA
01
—
1982637419
GROUP NPI
GA
01
—
N334027
WELLCARE MEDICAID
GA
01
—
P00201874
RR MEDICARE
GA
Enumeration date
05/31/2006
Last updated
03/30/2018
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