Provider Demographics
NPI:1417451402
Name:RIOS, ZILKA A (MS, RD, LND)
Entity type:Individual
Prefix:MRS
First Name:ZILKA
Middle Name:A
Last Name:RIOS
Suffix:
Gender:F
Credentials:MS, RD, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 AVE SAN IGNACIO APT 4209
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-8022
Mailing Address - Country:US
Mailing Address - Phone:787-209-5537
Mailing Address - Fax:
Practice Address - Street 1:66 CALLE SANTA CRUZ STE 202
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7048
Practice Address - Country:US
Practice Address - Phone:787-209-5537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-22
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1916133V00000X
NY86022734133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered