Del Rio, Samuel

Del Rio, Samuel is an individual health care provider with primary practice located at 255 Fortenberry Rd Suite A-1, Merritt Island FL 32952-3601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Del Rio, Samuel can be contacted via phone (321) 459-1192.

Contact Information

Primary practice address
255 Fortenberry Rd Suite A-1 Merritt Island FL 32952-3601
Phone: (321) 459-1192
Fax: (321) 459-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0075762 Florida
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X ME75762 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME75762 Florida

Profile Details

NPI number 1265497663
LBN Legal business name Del Rio, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 15th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265497663 NPPES
Florida MEDICAID 254387700

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