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NPI Code Detail

MEDICARE: DR. DIANA REBECCA VIRELLA-SAENZ M.D.

MEDICARE: DR. DIANA REBECCA VIRELLA-SAENZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD493716PA

General Provider Information

NPI Number : 1538563598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA REBECCA VIRELLA-SAENZ M.D.
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-9211
Fax Number :
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number : 215-707-3326
Fax Number : 215-707-8028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2014
Last Update Date : 04/07/2026

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