Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | ME0063202 | FL |
NPI | 1083623839 |
---|---|
Provider Name | Dr. Marvin Javier Rios |
First Address | Miami, FL 33265-2638 |
Second Address | Miami, FL 33175-3574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110950 | HUMANA (01) | FL |
1201096 | UNITED (01) | FL |
152851 | WELLCARE (01) | FL |
173148 | JMH (01) | FL |
21149363532-02 | BEECH STREET CORPORATION (01) | FL |
215900 | AMERIGROUP (01) | FL |
2391939 | AETNA (01) | FL |
261960 | BCBS (01) | FL |
279502 | AVMED (01) | FL |
317 | PREFERRED (01) | FL |
33586 | NHP (01) | FL |
59933 | VSTA OF SOUTH FLORIDA (01) | FL |
6035146002 | CIGNA (01) | FL |
772763 | FIRST HEALTH (01) | FL |
9104693 | PHCS (01) | FL |
F91215 | (02) | FL |
ME0063202 | VISTA HEALTH PLAN (01) | FL |