Healthcare Provider Details

I. General information

NPI: 1215866157
Provider Name (Legal Business Name): ROMY RIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15535 SW 120TH ST STE 12
MIAMI FL
33196-6216
US

IV. Provider business mailing address

15535 SW 120TH ST STE 12
MIAMI FL
33196-6216
US

V. Phone/Fax

Practice location:
  • Phone: 786-445-2848
  • Fax:
Mailing address:
  • Phone: 786-445-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27116
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: