Clavell Rivera, Diego G
Clavell Rivera, Diego G is an sole proprietor health care provider with primary practice located at 1044 Plaza Dr , Kissimmee FL 34743-4064. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Clavell Rivera, Diego G can be contacted via phone (407) 350-5659.Contact Information
Primary practice address
1044 Plaza Dr
Kissimmee FL 34743-4064
Phone: (407) 350-5659
Fax: (407) 350-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN542 | Florida |
Profile Details
| NPI number | 1265672778 |
|---|---|
| LBN Legal business name | Clavell Rivera, Diego G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2009 |
| Last updated | Sep 20th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265672778 | NPPES |
| Florida | Other | ACN542 | MEDICINE DOCTOR LIC |
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