Healthcare Provider Details

I. General information

NPI: 1063074516
Provider Name (Legal Business Name): CRISTINA MICHELLE RIOS RIVERA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2019
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4790 WATERS AVE STE 300
SAVANNAH GA
31404-1170
US

IV. Provider business mailing address

4790 WATERS AVE STE 300
SAVANNAH GA
31404-1170
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-8000
  • Fax:
Mailing address:
  • Phone: 912-350-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number114559
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: