Provider Demographics
NPI:1891317475
Name:RIOS CASTANO, PAULA ANDREA
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:ANDREA
Last Name:RIOS CASTANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:ANDREA
Other - Last Name:PAEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-1259
Mailing Address - Country:US
Mailing Address - Phone:845-670-8011
Mailing Address - Fax:
Practice Address - Street 1:3 SPRING ST
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-1259
Practice Address - Country:US
Practice Address - Phone:845-670-8011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker