Riascos, Maritza

Riascos, Maritza is an individual health care provider with primary practice located at 1341 Medical Park Dr Suite 101A, Melbourne FL 32901-3235. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Riascos, Maritza can be contacted via phone (321) 733-2711.

Contact Information

Primary practice address
1341 Medical Park Dr Suite 101A Melbourne FL 32901-3235
Fax: (321) 733-2011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME90299 Florida

Profile Details

NPI number 1922004639
LBN Legal business name Riascos, Maritza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 11th, 2015 - about 9 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 1922004639 NPPES
Florida MEDICAID 274608500

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