Healthcare Provider Details

I. General information

NPI: 1942163779
Provider Name (Legal Business Name): DAJA RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 LOCUST ST
MERIDEN CT
06450-2226
US

IV. Provider business mailing address

16 LOCUST ST BLDG 3
MERIDEN CT
06450-2226
US

V. Phone/Fax

Practice location:
  • Phone: 203-341-3722
  • Fax:
Mailing address:
  • Phone: 203-341-3722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: