Provider Demographics
NPI:1366595399
Name:RIOS, MARIBEL (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIBEL
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9357
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-9357
Mailing Address - Country:US
Mailing Address - Phone:787-820-5579
Mailing Address - Fax:787-820-5579
Practice Address - Street 1:137 CALLE VIDAL FELIX
Practice Address - Street 2:
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-1817
Practice Address - Country:US
Practice Address - Phone:787-820-5579
Practice Address - Fax:787-820-5579
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice