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NPI Code Detail

MEDICARE: DR. DIEGO FIORITO M.D.

MEDICARE: DR. DIEGO FIORITO 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianK1433TX

General Provider Information

NPI Number : 1184629586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIEGO FIORITO M.D.
Provider Business Mailing Address
First Line : PO BOX 947
Second Line :
City : HOUSTON
State : TX
Zip : 77001-0947
Country : US
Telephone Number : 800-213-3578
Fax Number : 903-453-2520
Provider Business Practice Location Address
First Line : 6720 BERTNER ST # MC4-265
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 832-355-7873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 10/12/2007

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