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Individual

DR. MARIVEL RIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789
Mailing address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7780
(210) 375-7789

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N1428
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203902601
TX
01
8L16814
MEDICARE
TX
Enumeration date
01/09/2008
Last updated
01/31/2011
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