Organization Name: | RIOS MEDICAL SUPPLY,INC. |
NPI Number: | 1083865661 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE CARLOS RIOS BETANCOURT (OWNER) |
Mailing Address: | 6725 W Central Ave Suite: M #357 Toledo |
State: | OH US |
Postal Code: | 436171148 |
Phone Number: | 4195080121 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2008 |
NPI Last Update Date: | 10/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |