Individual
LUIS A. RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 PONCE DE LEON BLVD., CORAL GABLES, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD., CORAL GABLES, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME70796
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME70796
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251110000
—
FL
01
—
31649
BCBS
—
Enumeration date
08/12/2005
Last updated
06/19/2008
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