Healthcare Provider Details
I. General information
NPI: 1427111038
Provider Name (Legal Business Name): VALERIE RIOS-SANCHEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/18/2006
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13275 W COLONIAL DR
WINTER GARDEN FL
34787-3984
US
IV. Provider business mailing address
110 S WOODLAND ST
WINTER GARDEN FL
34787-3546
US
V. Phone/Fax
- Phone: 407-905-8827
- Fax: 407-654-4079
- Phone: 407-905-8827
- Fax: 407-905-8998
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 146D00000X |
| Taxonomy | Personal Emergency Response Attendant |
| License Number | ACN372 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | ACN372 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: