MRS. JACQUELINE RIOS (NPI# 1306118716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118716 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE RIOS |
| Credential | DR.OT |
| Practice Address |
4545 Sw 104th Ave Miami FL 33165-5634 |
| Mailing Address |
11825 Sw 99th Ave Miami FL 33176-4111 |
| Practice Telephone | 3052210284 |
| Mailing Telephone | 7869851619 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT 10519 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 887774200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518424142 | Jacqueline Rios | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-03-01 |
| 1336618131 | Jacqueline Rios | Behavior Technician | 2800 Stonecreek Dr, Sacramento, CA 95833-1634 | 2018-11-21 |
| Street Address |
4545 SW 104TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-5634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739435 | Cheryl Van Der Laan | Physical Therapist | 4545 Sw 104th Ave, Miami, FL 33165-5634 | 2008-08-13 |
| 1124373915 | Jamilet Fals | Occupational Therapist | 4545 Sw 104th Ave, Miami, FL 33165-5634 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057501 | Crossover Health Medical Group | Specialist | 1 Telemundo Way, Miami, FL 33182 | 2020-03-05 |
| 1417594581 | Anamaria Nevares | Specialist | 1601 Nw 12th Ave Ste 2018, Miami, FL 33136-1005 | 2019-12-07 |
| 1619491891 | Stellae LLC | Specialist | 8323 Nw 12 Street, Suite 115, Miami, FL 33126 | 2017-07-31 |
| 1083136808 | Venecia Lasalle Jean | Specialist | 6304 Nw 14th Ave, Miami, FL 33147-8008 | 2017-07-13 |
| 1073063210 | Care for Children Pediatric Services, M.d.,p.a. | Specialist | 3228 Nw 7th St, Miami, FL 33125-4102 | 2016-10-12 |
| 1366995573 | Play To Learn Therapy, Inc. | Specialist | 10841 Sw 128th St, Miami, FL 33176-5442 | 2016-07-25 |
| 1699123323 | Leydi Reyes Figueredo | Specialist | 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 | 2016-06-03 |
| 1134574288 | Javier Perez Mena I | Specialist | 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 | 2016-04-26 |
| 1528423571 | Andres Tamayo Md | Specialist | 7357 W Flagler St, Miami, FL 33144-2557 | 2015-12-17 |
| 1134591001 | Keen Radiology, LLC | Specialist | 3500 Munroe Dr, Miami, FL 33133-5932 | 2015-10-30 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.