Pour the coconut milk, cinnamon, nutmeg, vanilla extract and sugar into a saucepan on medium-high heat and bring to a boil. About 4-5 minutes.
Lower heat to low, add rice to the liquid and mix together.
Stir occasionally for 20 minutes, until mixture gets thick and creamy. If pudding is too thick, add a little water and continue to cook until rice is soft.
Add orange zest and garnishes before serving.
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