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SILVANA GONZALEZ REILEY MD LLC NPI 1205233558


NPI Information

NPI: 1205233558
Provider Name: SILVANA GONZALEZ REILEY MD LLC

Doing Business As: DORAL NEUROLOGICAL SERVICES

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 10D2094270

Address:
4055 NW 97TH AVE STE 100
DORAL, FL
ZIP 33178
Phone: (786) 452-1067
Get Directions

SILVANA GONZALEZ REILEY MD LLC is a neurology psychiatry neurology in Doral, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SILVANA GONZALEZ REILEY MD LLC NPI is 1205233558. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Doral Neurological Services.

The provider's business location address is:

4055 NW 97TH AVE STE 100
DORAL, FL
ZIP 33178-911
Phone: (786) 452-1067
Fax: (786) 472-1280

The provider's authorized official is Silvana G Gonzalez Reiley .
The authorized official title is Md Manager and has the following contact phone number (786) 452-1067.

The CLIA number assigned to this NPI record is 10D2094270 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2014 and was last updated on 10/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
22084N0400XPsychiatry & NeurologyNeurologyME 105503FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10043741-00MEDICAIDFLORIDA
2014263900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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