Healthcare Provider Details

I. General information

NPI: 1952682783
Provider Name (Legal Business Name): SILVANA G GONZALEZ REILEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2011
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 TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberME105503
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME105503
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME105503
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: