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Individual

DR. RAYMOND RIOS-NIEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6042
Mailing address
1033 9TH ST N STE 108, ST PETERSBURG, FL 33701-1547

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME0144620
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106525900
FL
01
OX600
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/21/2014
Last updated
02/23/2022
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