SAMUEL DEL RIO (NPI# 1265497663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265497663 |
| Entity Type | Individual |
| Full Name | SAMUEL DEL RIO |
| Credential | M.D. |
| Practice Address |
255 Fortenberry Rd Suite A-1 Merritt Island FL 32952-3601 |
| Mailing Address |
Po Box 11406 Belfast ME 04915-4005 |
| Practice Telephone | 3214591192 |
| Practice Fax Number | 3214592304 |
| Mailing Telephone | 3214591192 |
| Mailing Fax Number | 3214592304 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | ME0075762 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME75762 | FL | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME75762 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254387700 | 05 |
| Street Address |
255 FORTENBERRY RD SUITE A-1 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100452 | Janie Furer Geraci | Obstetrics & Gynecology | 255 Fortenberry Rd, A-1, Merritt Island, FL 32952-3601 | 2006-03-29 |
| 1205079928 | Snyder Faustin | Behavioral Analyst | 255 Fortenberry Rd, Suite B4, Merritt Island, FL 32952-3601 | 2009-04-10 |
| 1043458060 | Wuesthoff Partners In Womens Health LLC | Obstetrics & Gynecology | 255 Fortenberry Rd, Suite A-1, Merritt Island, FL 32952-3601 | 2009-01-29 |
| 1467610204 | Kristy Casey Kazemfar | Obstetrics & Gynecology | 255 Fortenberry Rd, Ste A1, Merritt Island, FL 32952-3601 | 2008-05-29 |
| 1972705739 | Jamie Patricia Burrows | Obstetrics & Gynecology | 255 Fortenberry Rd, Suite A-1, Merritt Island, FL 32952-3601 | 2007-06-04 |
| 1538375068 | Nefertari Daaga Esemuede | Obstetrics & Gynecology | 255 Fortenberry Rd, Suite A1, Merritt Island, FL 32952-3601 | 2007-05-14 |
| 1598857328 | Mihai S Radu M D P A | Clinic/Center | 255 Fortenberry Rd, Suite B6, Merritt Island, FL 32952-3601 | 2006-09-29 |
| 1104881044 | Javier J Soto | Obstetrics & Gynecology | 255 Fortenberry Rd, A-1, Merritt Island, FL 32952-3601 | 2006-04-20 |
| 1881659282 | Terease E Kwiatkowski | Obstetrics & Gynecology | 255 Fortenberry Rd, A-1, Merritt Island, FL 32952-3601 | 2006-04-19 |
| 1437111465 | Mioara Radu | Internal Medicine | 255 Fortenberry Rd, Suite B-6, Merritt Island, FL 32952-3601 | 2006-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203633 | Sally Harris Sange | Obstetrics & Gynecology | 210 N Grove Street, Merritt Island, FL 32953-3444 | 2006-10-03 |
| 1386975415 | Restoration Medicine LLC | Obstetrics & Gynecology | 190 S Sykes Creek Pkwy, Suite #3, Merritt Island, FL 32952-3572 | 2010-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
Please comment or provide details below to improve the information on SAMUEL DEL RIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.