| Doctor Name: | MRS. MARTA MATEO FIALLO |
| NPI Number: | 1003924424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 279-0006593 |
| Business Practice Address: | 2519 Hunters Run Way Weston, FL - 333271436 |
| Business Phone Number: | 9548825387 |
| Business Fax Number: | 7868882887 |
| Mailing Address: | 15051 Royal Oaks Ln, #703 NORTH MIAMI |
| State: | FL |
| Postal Code: | 331812457 |
| Phone Number: | 9548825387 |
| Fax Number: | 7868882887 |
| NPI Enumeration Date: | 08/26/2006 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | 279-0006593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |