Individual
DR. LUIS ERNESTO RIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2409 STOCKTON DR, FLEMING ISLAND, FL 32003-8795
(904) 284-8700
Mailing address
2409 STOCKTON DR, FLEMING ISLAND, FL 32003-8795
(904) 284-8700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0055184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211969812A
—
GA
05
—
3703495-00
—
FL
Enumeration date
02/01/2006
Last updated
02/11/2015
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