Organization
DR LUIS M RIOS M D P A
Active
Other names
LUIS M. RIOS, JR.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MANUEL RIOS JR. M.D. (OWNER)
(956) 682-3147
Entity
Organization
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
208200000X
Plastic Surgery Physician
Primary
J0221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059GS
BLUE CROSS/BLUE SHIELD GR
TX
01
—
00701R
MEDICARE PTAN
TX
05
—
031479101
—
TX
05
—
152179101
—
TX
01
—
8B6021
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
01/02/2008
Last updated
11/11/2011
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