Healthcare Provider Details

I. General information

NPI: 1720178544
Provider Name (Legal Business Name): YANET RIOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9981 HEALTHPARK DRIVE
FT MYERS FL
33908-3618
US

IV. Provider business mailing address

PO BOX 2147
FT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 239-343-5651
  • Fax: 239-343-5652
Mailing address:
  • Phone: 239-343-5651
  • Fax: 239-343-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME96834
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0096834
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: