Active NPI
Luis Manuel Rios Jr., M.D.
- Plastic and Reconstructive Surgery Physician
- Edinburg, TX
National Provider Identifier
1730171216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- J0221
- Practice address
- 2101 Cornerstone Blvd
Edinburg, TX 78539-8301 - Phone
- (956) 682-3147
- Fax
- (956) 682-3511
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | J0221 | TX | Primary |
Addresses
Primary practice location
2101 Cornerstone Blvd
Edinburg, TX 78539-8301
Mailing address
2101 Cornerstone Blvd
Edinburg, TX 78539-8301
Phone (956) 682-3147
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152179101 | Medicaid | TX | |
| 742883624 | Other | TX | WORKERS COMP # |
| 742883624 | Other | FEDERAL TAX ID# | |
| 8B6021 | Other | TX | BLUE CROSS PROVIDER # |
| 0059GS | Other | TX | BLUE CROSS/BLUE SHIELD GROUP |
| 031479101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J0221 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Two Rivers Surgery Center, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Edinburg, TX
- NPI 1154421386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1730171216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398301",
"telephone_number": "956-682-3147",
"fax_number": "956-682-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 CORNERSTONE BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785398301",
"telephone_number": "956-682-3147",
"fax_number": "956-682-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOS",
"first_name": "LUIS",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "J0221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152179101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP #",
"identifier": "742883624",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID#",
"identifier": "742883624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "8B6021",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD GROUP",
"identifier": "0059GS",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031479101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.