Healthcare Provider Details

I. General information

NPI: 1477181691
Provider Name (Legal Business Name): ARIEL PRIETO VALDES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 VETERANS PARK DR STE 2203
NAPLES FL
34109-0596
US

IV. Provider business mailing address

1875 VETERANS PARK DR STE 2203
NAPLES FL
34109-0596
US

V. Phone/Fax

Practice location:
  • Phone: 239-431-5884
  • Fax: 239-631-6907
Mailing address:
  • Phone: 239-431-5884
  • Fax: 239-631-6907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME172011
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: