Provider Demographics
NPI:1942097209
Name:RIOS-BRAVO, SAHIRELIZ NASHARIE
Entity type:Individual
Prefix:
First Name:SAHIRELIZ
Middle Name:NASHARIE
Last Name:RIOS-BRAVO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-2411
Mailing Address - Country:US
Mailing Address - Phone:860-207-2928
Mailing Address - Fax:
Practice Address - Street 1:192 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2411
Practice Address - Country:US
Practice Address - Phone:860-207-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health