Provider Demographics
NPI:1942018387
Name:OVIEDO RIVERA, CINDY ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:ELIZABETH
Last Name:OVIEDO RIVERA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 GLOUCESTER ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-1410
Mailing Address - Country:US
Mailing Address - Phone:401-497-6921
Mailing Address - Fax:
Practice Address - Street 1:25 BUCKLIN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-2547
Practice Address - Country:US
Practice Address - Phone:401-443-4008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN73901163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse