Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 021333 | PR |
N | 208600000X | Surgeon | 021333 | PR |
Y | 208200000X | Surgeon | S6923 | TX |
Y | 208600000X | Surgeon | S6923 | TX |
NPI | 1003106287 |
---|---|
Provider Name | Dr. Mayrim V. Rios Perez |
First Address | Kingwood, TX 77339 |
Second Address | Kingwood, TX 77339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2011 |
Last Update Date | 25/01/2022 |