Healthcare Provider Details

I. General information

NPI: 1174972012
Provider Name (Legal Business Name): DIEGO KRIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1243 S MYRTLE AVE
CLEARWATER FL
33756-3469
US

IV. Provider business mailing address

1243 S MYRTLE AVE
CLEARWATER FL
33756-3469
US

V. Phone/Fax

Practice location:
  • Phone: 727-442-3126
  • Fax: 727-442-4827
Mailing address:
  • Phone: 727-442-3126
  • Fax: 727-442-4827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME148290
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number157102
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME148290
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: