Healthcare Provider Details

I. General information

NPI: 1306586052
Provider Name (Legal Business Name): STEVEN RIOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N MILITARY TRL STE 200
BOCA RATON FL
33431-6308
US

IV. Provider business mailing address

2900 N MILITARY TRL STE 200
BOCA RATON FL
33431-6308
US

V. Phone/Fax

Practice location:
  • Phone: 561-241-0025
  • Fax: 877-868-0952
Mailing address:
  • Phone: 561-241-0025
  • Fax: 877-868-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME173805
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: