Individual
LOURDES M AVILES-RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK STREET, YALE-NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510
(787) 756-4020
Mailing address
33 CEDAR STREET, 420 LSOG, YALE UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC DEPARTMENT, NEW HAVEN, CT 06420-8064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
12,705-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
20818
PR
Other
Enumeration date
11/09/2010
Last updated
05/29/2014
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