Perez-Rios, Ilienis

Perez-Rios, Ilienis is an individual health care provider with primary practice located at 122 Kent Place , Alcoa TN 37701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perez-Rios, Ilienis can be contacted via phone (865) 637-8812.

Contact Information

Primary practice address
122 Kent Place Alcoa TN 37701
Phone: (865) 637-8812
Fax: (865) 342-4678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9112956 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4101 Tennessee

Profile Details

NPI number 1194350678
LBN Legal business name Perez-Rios, Ilienis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2020
Last updated May 17th, 2021 - about 5 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 1194350678 NPPES
Tennessee MEDICAID Q057212

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