Healthcare Provider Details

I. General information

NPI: 1124654041
Provider Name (Legal Business Name): DALIA RIOS-ARROYO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WINDERLEY PL STE 115
MAITLAND FL
32751-7406
US

IV. Provider business mailing address

500 WINDERLEY PL STE 115
MAITLAND FL
32751-7406
US

V. Phone/Fax

Practice location:
  • Phone: 407-581-9180
  • Fax: 865-560-7066
Mailing address:
  • Phone: 407-581-9180
  • Fax: 865-560-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCRNA34687
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11008740
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: