Provider Demographics
NPI:1700330263
Name:RIOS, ZAIDA IVETTE
Entity type:Individual
Prefix:MRS
First Name:ZAIDA
Middle Name:IVETTE
Last Name:RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BOARDWALK AVE
Mailing Address - Street 2:APT 123
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6021
Mailing Address - Country:US
Mailing Address - Phone:787-202-0622
Mailing Address - Fax:
Practice Address - Street 1:200 BOARDWALK AVE
Practice Address - Street 2:APT 123
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6021
Practice Address - Country:US
Practice Address - Phone:787-202-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling