Provider Demographics
NPI:1649620550
Name:ORTIZ-RIOS, CHERIE ERLENE
Entity type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:ERLENE
Last Name:ORTIZ-RIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHERIE
Other - Middle Name:ERLENE
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3B CORAL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-9301
Mailing Address - Country:US
Mailing Address - Phone:505-469-8279
Mailing Address - Fax:
Practice Address - Street 1:3B CORAL ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87506-9301
Practice Address - Country:US
Practice Address - Phone:505-469-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other