Healthcare Provider Details

I. General information

NPI: 1205233558
Provider Name (Legal Business Name): SILVANA GONZALEZ REILEY MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2014
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 NW 53RD ST STE 208
DORAL FL
33166-4637
US

IV. Provider business mailing address

7950 NW 53RD ST STE 208
DORAL FL
33166-4637
US

V. Phone/Fax

Practice location:
  • Phone: 786-452-1067
  • Fax: 786-472-1280
Mailing address:
  • Phone: 786-452-1067
  • Fax: 786-472-1280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME 105503
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SILVANA G GONZALEZ REILEY
Title or Position: MANAGER
Credential: MD
Phone: 786-452-1067