Individual
DR. DIEGO G CLAVELL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 PLAZA DR, KISSIMMEE, FL 34743-4064
(407) 350-5659
(407) 350-5662
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN542
MEDICINE DOCTOR LIC
FL
Enumeration date
02/23/2009
Last updated
09/20/2018
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