Provider Demographics
NPI:1528162781
Name:MAANO, RIO RITA MASTRILI (MD)
Entity type:Individual
Prefix:DR
First Name:RIO RITA
Middle Name:MASTRILI
Last Name:MAANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:RIO
Other - Middle Name:R
Other - Last Name:MAANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3009 MARCUS POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-1818
Mailing Address - Country:US
Mailing Address - Phone:850-969-0035
Mailing Address - Fax:
Practice Address - Street 1:COMPENSATION AND PENSION OFFICE (VA CLINIC)
Practice Address - Street 2:6425 PENSACOLA BLVD SUITE 7
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505
Practice Address - Country:US
Practice Address - Phone:850-471-7679
Practice Address - Fax:850-471-7566
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 28125174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist