Walter Rios-Corujo, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

65179 Issued in AZ

Practice address

7734 N 59TH Ave
Glendale, AZ 85301-7816

Phone

(602) 569-3999

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinica la Familia, PC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1780668921

  Family Medicine

  NPD
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1801902143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062935",
            "telephone_number": "602-569-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017816",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Griffin Ave",
            "address_purpose": "LOCATION",
            "city": "Eastman",
            "state": "GA",
            "postal_code": "310236718",
            "country_code": "US",
            "telephone_number": "478-374-1801",
            "fax_number": "478-448-4586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS-CORUJO",
        "first_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "075099",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "14923",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "65179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159968",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rightcare Medical, LLC
• Doris Irine Riley, B.A,, M.E.
• Jewel R Riley, LCSW
• Diane Marie Rinaldi, PA-C
• Brenda Rincon
• Cristina Rios
• Stephen W Ripple, M.D.
• Rise and Renew Wellness PLLC
• Rising Medical Group PLLC
• Rising Mental Health

• Pediatrics Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.