Individual
MR. SERGIO RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5979 NW 151ST ST STE 102I, MIAMI LAKES, FL 33014
(786) 953-5120
Mailing address
1630 W 46TH ST APT 310, HIALEAH, FL 33012-2814
(786) 333-0125
(305) 907-5322
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
10/30/2017
Last updated
06/15/2018
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