Individual
ROBERTO LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 HOSPITAL ROAD, LEOMINSTER, MA 01453-2205
(978) 466-4169
(978) 466-4164
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
241774
MA
207Q00000X
Family Medicine Physician
Primary
241774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072006A
—
MA
Enumeration date
07/03/2007
Last updated
11/09/2020
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