Provider Demographics
NPI:1871600288
Name:RIOS, MARIA R (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:R
Last Name:RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:R
Other - Last Name:PEKO-RIOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:11601 IDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4853
Mailing Address - Country:US
Mailing Address - Phone:301-467-2162
Mailing Address - Fax:240-777-3226
Practice Address - Street 1:1425 UNIVERSITY BLVD E STE 245
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4646
Practice Address - Country:US
Practice Address - Phone:240-752-2767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD004244Z2084P0800X
IL0360819682084P0800X
DCMD192422084P0800X
CAC549342084P0800X
MI43010640782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD461164000OtherMAGELLAN
DCA2840120OtherBCBS OF DC
MD52636805OtherBCBS OF MD
MD237759OtherKAISER
MD184991301Medicaid
MD7971492OtherAETNA
MD52636805OtherBCBS OF MD