Healthcare Provider Details

I. General information

NPI: 1437076510
Provider Name (Legal Business Name): VICTORIA MARI RIOFLORIDO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 CAMINO DEL RIO N STE 1250
SAN DIEGO CA
92108-9800
US

IV. Provider business mailing address

3111 CAMINO DEL RIO N STE 1250
SAN DIEGO CA
92108-9800
US

V. Phone/Fax

Practice location:
  • Phone: 619-209-3696
  • Fax:
Mailing address:
  • Phone: 619-209-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number29223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: