Provider Demographics
NPI:1831568328
Name:RIOS, YARA (PSYD)
Entity type:Individual
Prefix:DR
First Name:YARA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:YARA
Other - Middle Name:
Other - Last Name:SOTOLONGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:117 GLOWING PEACE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-6141
Mailing Address - Country:US
Mailing Address - Phone:787-435-4416
Mailing Address - Fax:
Practice Address - Street 1:117 GLOWING PEACE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-6141
Practice Address - Country:US
Practice Address - Phone:787-435-4416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health