Healthcare Provider Details

I. General information

NPI: 1578948501
Provider Name (Legal Business Name): YURISAN RIOS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 W 68TH ST STE 300
HIALEAH FL
33016-1815
US

IV. Provider business mailing address

1535 DESOTO BLVD S
NAPLES FL
34117-9522
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-4107
  • Fax:
Mailing address:
  • Phone: 786-486-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9297355
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: