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NPI Code Detail

MEDICARE: DR. SILVANA G GONZALEZ REILEY M.D.

MEDICARE: DR. SILVANA G GONZALEZ REILEY 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
1207R00000XInternal Medicine PhysicianME105503FL
22084N0600XClinical Neurophysiology PhysicianME105503FL
32084N0400XNeurology PhysicianME105503FL

General Provider Information

NPI Number : 1952682783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SILVANA G GONZALEZ REILEY M.D.
Provider Business Mailing Address
First Line : 9821 NW 88TH TER
Second Line :
City : DORAL
State : FL
Zip : 33178-2495
Country : US
Telephone Number : 786-452-1067
Fax Number : 786-472-1280
Provider Business Practice Location Address
First Line : 4055 NW 97TH AVE STE 100
Second Line :
City : DORAL
State : FL
Zip : 33178-2911
Country : US
Telephone Number : 786-452-1067
Fax Number : 786-472-1280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 10/21/2021

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