Provider Demographics
NPI:1114639838
Name:RIOS, CRISTIANE MOREIRA (APRN)
Entity Type:Individual
Prefix:
First Name:CRISTIANE
Middle Name:MOREIRA
Last Name:RIOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10829 SW 91ST LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1395
Mailing Address - Country:US
Mailing Address - Phone:786-800-8347
Mailing Address - Fax:
Practice Address - Street 1:10829 SW 91ST LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1395
Practice Address - Country:US
Practice Address - Phone:786-800-8347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023139363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11023139OtherFAMILY NURSE PRACTITIONER