Provider Demographics
NPI:1770465213
Name:RICE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:RICE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA LOSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-795-0600
Mailing Address - Street 1:692 NW PLACID AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1012
Mailing Address - Country:US
Mailing Address - Phone:305-795-0600
Mailing Address - Fax:
Practice Address - Street 1:692 NW PLACID AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1012
Practice Address - Country:US
Practice Address - Phone:305-795-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty