Healthcare Provider Details

I. General information

NPI: 1508357393
Provider Name (Legal Business Name): SUHEILY RIOS M.SC., M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CARR 861
TOA ALTA PR
00953-8528
US

IV. Provider business mailing address

PO BOX 6871
BAYAMON PR
00960-5871
US

V. Phone/Fax

Practice location:
  • Phone: 787-993-1719
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number9183
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: