Provider Demographics
NPI:1962153775
Name:RIJOS, XAVIER R (BA)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:R
Last Name:RIJOS
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-4766
Mailing Address - Country:US
Mailing Address - Phone:978-345-0685
Mailing Address - Fax:978-829-2210
Practice Address - Street 1:545 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-4766
Practice Address - Country:US
Practice Address - Phone:978-345-0685
Practice Address - Fax:978-829-2210
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker