| Doctor Name: | DR. DIEGO G CLAVELL RIVERA |
| NPI Number: | 1265672778 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ACN542 |
| Business Practice Address: | 7901 Kingspointe Pkwy Ste 1 Orlando, FL - 328196520 |
| Business Phone Number: | 7874329732 |
| Business Fax Number: | 7878481437 |
| Mailing Address: | 7901 Kingspointe Pkwy, Ste 1 ORLANDO |
| State: | FL |
| Postal Code: | 328196520 |
| Phone Number: | 7874329732 |
| Fax Number: | 7878481437 |
| NPI Enumeration Date: | 02/23/2009 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |