DR. DIEGO G CLAVELL RIVERA - NPI NUMBER 1265672778

Summary

Provider Name: DR. DIEGO G CLAVELL RIVERA

NPI Number: 1265672778

Clasification: General Practice (208D00000X)

Address:
7901 KINGSPOINTE PKWY
STE 1
ORLANDO, FL
ZIP 32819

Phone Number: (787) 432-9732



Detailed Information

DR. Diego G Clavell Rivera is a general practitioner in Orlando, FL. The assigned NPI number for this provider is 1265672778 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

7901 KINGSPOINTE PKWY
STE 1
ORLANDO, FL
ZIP 32819-520
Phone: (787) 432-9732
Fax: (787) 848-1437

The enumeration date for this NPI number is 2/23/2009 and was last updated on 2/12/2014.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208D00000X General Practice ACN542 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1265672778
2 Entity Type Code 1
3 Provider Last Name Legal Name CLAVELL RIVERA
4 Provider First Name DIEGO
5 Provider Middle Name G
6 Provider Name Prefix Text DR.
7 Provider First Line Business Practice Location Address 7901 KINGSPOINTE PKWY
8 Provider Second Line Business Practice Location Address STE 1
9 Provider Business Practice Location Address City Name ORLANDO
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 328196520
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 7874329732
14 Provider Business Practice Location Address Fax Number 7878481437
15 Provider Enumeration Date 2/23/2009
16 Last Update Date 2/12/2014
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 208D00000X
19 Provider License Number 1 ACN542
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor Y

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.