Individual provider · Type 1 NPI

Lourdes M. Aviles-Rios, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1780985606 Active

Practice location

20 York Street, Yale-New Haven Hospital
New Haven, CT 06510

Mailing address

33 Cedar Street, 420 Lsog, Yale University School Of Medicine Pediatric Department
New Haven, CT 06420-8064

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X12,705-I (PR)
Student in an Organized Health Care Education/Training Program Primary 390200000X20818 (PR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780985606

Lourdes M. Aviles-Rios, MD's National Provider Identifier is 1780985606, issued on Nov 9, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 29, 2014.