| Diego Rielo Md Pa | |
|
17395 Nw 59th Ave Hialeah FL 33015-5111 | |
| (305) 560-5302 | |
| (305) 826-2600 |
| Full Name | Diego Rielo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17395 Nw 59th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Diego Rielo (PRESIDENT / OWNER) |
| Authorized Official Contact | 3055605302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diego Rielo Md Pa 2003 Sw 143rd Pl Miami FL 33175-8068 Ph: (305) 560-5302 | Diego Rielo Md Pa 17395 Nw 59th Ave Hialeah FL 33015-5111 Ph: (305) 560-5302 |
| NPI Number | 1396028346 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 2668430679 |
|---|---|
| Medicare Enrollment ID | O20121008000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396028346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME81040 (Florida) | Primary |
| Provider Name | Diego Rielo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720058233 PECOS PAC ID: 2466349535 Enrollment ID: I20040303000128 |
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