Provider Demographics
NPI:1932079050
Name:RIOS OLIVA, ARIEL A SR
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:A
Last Name:RIOS OLIVA
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 SW 116TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1728
Mailing Address - Country:US
Mailing Address - Phone:786-495-3061
Mailing Address - Fax:
Practice Address - Street 1:6455 SW 116TH PL APT C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1715
Practice Address - Country:US
Practice Address - Phone:786-495-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty