Individual
DR. LUIS MANUEL RIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 CORNERSTONE BLVD, EDINBURG, TX 78539-8301
(956) 682-3147
(956) 682-3511
Mailing address
2101 CORNERSTONE BLVD, EDINBURG, TX 78539-8301
(956) 682-3147
(956) 682-3511
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
J0221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059GS
BLUE CROSS/BLUE SHIELD GROUP
TX
05
—
031479101
—
TX
05
—
152179101
—
TX
01
—
742883624
WORKERS COMP #
TX
01
—
742883624
FEDERAL TAX ID#
—
01
—
8B6021
BLUE CROSS PROVIDER #
TX
Enumeration date
08/19/2005
Last updated
11/09/2011
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