Provider Demographics
NPI:1447466578
Name:RIOS, KAREN F (OTR)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:F
Last Name:RIOS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5176 SUGAR MILL RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3803
Mailing Address - Country:US
Mailing Address - Phone:956-504-5191
Mailing Address - Fax:
Practice Address - Street 1:2035 E PRICE RD
Practice Address - Street 2:STE C
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3572
Practice Address - Country:US
Practice Address - Phone:956-621-2557
Practice Address - Fax:956-621-2577
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102570225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T3274OtherBCBS PROVIDER NUMBER