Patient Portal

We are honored that you have chosen us as your healthcare provider.

As we continue in our efforts to provide our patients with the highest quality of care, we are constantly looking for methods of working together with you to ensure that you are not only aware of, but also involved in the management and improvement of your health.

We encourage you to explore the benefits and convenience that the patient portal provides. You will need to have you account setup at the office to obtain your username and password. Once setup you can click on the health portal link above and explore the benefits.

For further information click here or Portal in the menu bar.

Our Providers:


Steven J. Rivers, M.D. moved to The Villages in July 2004. He was born and raised in West Chester, Pennsylvania. He completed both his undergraduate degree and medical degree at the University of Iowa located in Iowa City, IA.

He completed his internship, and residency at the Florida Hospital Family Medicine Residency located in Orlando, FL. He is board certified in Family Medicine.

Dr. Rivers is devoted to providing quality, compassionate, medical care with a focus on preventive medicine. He is aggressive in educating the patient, and involving them in the decision making process. Services include, but are not limited to: comprehensive medical care, health maintenance, minor surgical procedures, skin care, and preventive services.



Julio Ugarte M.D. grew up in Miami, FL. He completed his undergraduate degree at the University of North Carolina at Chapel Hill. He then completed medical school at The University of South Florida in Tampa, FL.

He also completed both his internship and residency at the Florida Hospital Family Medicare Residency in Orlando, FL and is board certified in Family Medicine.

He relocated to The Villages area in 1993. He thoroughly enjoys partnering with his patients to strive for optimal health and disease prevention. He uses both conventional and functional medicine in his integrated practice.



Patricia L. Cheston, PLC, PAC graduated from Hillsborough Community College, Tampa, FL in 1976 and George Washington University, Washington DC in 1987.

She is certified by the National Commission on Certification of Physician Assistants and a long standing member in the American Academy of Physician Assistants and the Florida Academy of Physician Assistants. Patricia has practiced Family Medicine, Rural Urgent Care Medicine and Emergency Medicine for over 25 years in Florida. She has worked at Munroe Regional Medical Center, Leesburg Regional Medical Center, Spring Hill Regional Hospital and Citrus Memorial Hospital in the ED. During her off time, Patricia served as Coordinator of Equine Rescue and Adoption for the Humane Society, SPCA of Sumter County from 1998-2011, Board of Directors Sumter County Youth Charities and Heart of Florida Girl Scouts Group Leader for City Force-Future Focus at South Sumter Middle School. She is presently a member in the Florida Cracker Horse Association, Florida Native Plant Society and her local church. She resides at her farm with her four horses, two dogs and five cats.



Rivers Family Medicine welcomes Dr. Erin Dariano. Dr. Dariano has been practicing Family Medicine in Lima Ohio at Lima Memorial Hospital for the past 7 years. Dr Dariano, D.O, Completed her undergraduate degree at Bowling Green State University, and her medical degree at Ohio University College of Osteopathic Medicine. She is a board certified D.O., Doctor of Osteopathic Medicine..

Dr. Dariano and her husband Michael have two daughters and two dogs. They recently relocated to escape the cold winters of Ohio. They enjoy spending time outdoors, and are very excited to explore everything central Florida has to offer. Dr. Dariano is committed to providing thorough, compassionate, mindful care for her patients.