Provider Demographics
NPI:1114816956
Name:RIOS DE LA GALA, LINDOMIRA HILDA SR
Entity type:Individual
Prefix:
First Name:LINDOMIRA
Middle Name:HILDA
Last Name:RIOS DE LA GALA
Suffix:SR
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 ESTERO BAY DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5537
Mailing Address - Country:US
Mailing Address - Phone:239-961-8567
Mailing Address - Fax:
Practice Address - Street 1:670 GOODLETTE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5614
Practice Address - Country:US
Practice Address - Phone:239-316-7656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst