NPIMap

Individual provider Active NPI

Wanda Ivette Rios, MT

  • Specialist
  • Orlando, FL
National Provider Identifier
1306007026
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA42752 Issued in FL
Practice address
8204 Crystal CLR LN Ste 1500
Orlando, FL 32809-7757
Phone
(407) 240-8884
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA42752 FL Primary

Addresses

Primary practice location

8204 Crystal CLR LN Ste 1500
Orlando, FL 32809-7757

Mailing address

8204 Crystal CLR LN Ste 1500
Orlando, FL 32809-7757
Phone (407) 240-8884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MA42752FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuestro Chiropractic Center Past Accepting new patients
Physiocare Medical & Wellness Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1306007026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 CRYSTAL CLR LN STE 1500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097757",
            "telephone_number": "407-240-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 CRYSTAL CLR LN STE 1500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097757",
            "telephone_number": "407-240-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "WANDA",
        "middle_name": "IVETTE",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA42752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.