Healthcare Provider Details

I. General information

NPI: 1831009042
Provider Name (Legal Business Name): NATASHA MARIE RIOS-RIVERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OAKVIEW DR UNIT 3-309
TRUMBULL CT
06611-4771
US

IV. Provider business mailing address

100 OAKVIEW DR UNIT 3-309
TRUMBULL CT
06611-4771
US

V. Phone/Fax

Practice location:
  • Phone: 203-400-8799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number208583
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: