Provider Demographics
NPI:1689901472
Name:DEL RIO, SONIA (CNA)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:DEL RIO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4878 TANGERINE AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-7147
Mailing Address - Country:US
Mailing Address - Phone:407-671-5377
Mailing Address - Fax:
Practice Address - Street 1:4878 TANGERINE AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-7147
Practice Address - Country:US
Practice Address - Phone:407-671-5377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1072731251E00000X
FLCNA145813376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide