Provider Demographics
NPI:1790112043
Name:RIOS, NAYABEL CRISTINA (AGENT)
Entity Type:Individual
Prefix:
First Name:NAYABEL
Middle Name:CRISTINA
Last Name:RIOS
Suffix:
Gender:F
Credentials:AGENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5026 SWEET CEDAR CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8106
Mailing Address - Country:US
Mailing Address - Phone:407-668-6820
Mailing Address - Fax:
Practice Address - Street 1:5026 SWEET CEDAR CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8106
Practice Address - Country:US
Practice Address - Phone:407-668-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP172239172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker