Individual provider Active NPI

Luis A. Rios, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Coral Gables, FL
National Provider Identifier
1710989488
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
ME70796 Issued in FL
Practice address
5955 Ponce de Leon Blvd.
Coral Gables
Coral Gables, FL 33146
Phone
(305) 661-1515
Fax
(305) 662-3723
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME70796 FL
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X ME70796 FL Primary

Addresses

Primary practice location

5955 Ponce de Leon Blvd.
Coral Gables
Coral Gables, FL 33146

Mailing address

5955 Ponce de Leon Blvd.
Coral Gables
Coral Gables, FL 33146
Phone (305) 661-1515

Other identifiers 2

IdentifierTypeStateIssuer
251110000MedicaidFL
31649OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820012322 FL Practitioner - Pediatric Medicine 2668787532 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME70796FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc CurrentSince Jul 24, 2013 Accepting new patients
Emergency Pediatric Services, PA CurrentSince Oct 1, 2007 Accepting new patients
Kidz Medical Services, Inc CurrentSince Jul 24, 2013 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

7100 W 20th Ave
Ste 706
Miami Lakes, FL 33016
Phone (305) 821-6112

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1710989488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD.",
            "address_2": "CORAL GABLES",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD.",
            "address_2": "CORAL GABLES",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "LUIS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME70796",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME70796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251110000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.