Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | C1-0010779 | DE |
N | 208D00000X | General Practice Physician | 0101238717 | VA |
NPI | 1003820887 |
---|---|
Provider Name | Dr. Veronica Carranza Rios |
First Address | Jacksonville, FL 32214-0001 |
Second Address | Jacksonville, FL 32214-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 01/04/2015 |