Healthcare Provider Details

I. General information

NPI: 1437078458
Provider Name (Legal Business Name): MS. CLAUDIA LILIANA DE LOS RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009-5525
US

IV. Provider business mailing address

1246 MADISON ST
HOLLYWOOD FL
33019-1818
US

V. Phone/Fax

Practice location:
  • Phone: 954-362-8677
  • Fax: 954-458-8167
Mailing address:
  • Phone: 302-794-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: