Organization Active NPI

Diego Rielo MD PA

  • Neurology Physician
  • Hialeah, FL
National Provider Identifier
1396028346
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME81040 Issued in FL
Legal business name
DIEGO RIELO MD PA
Practice address
17395 NW 59TH Ave
Hialeah, FL 33015-5111
Phone
(305) 560-5302
Fax
(305) 826-2600
NPI assigned
Sep 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diego Rielo, MDNPI 1720058233
Title
President / Owner
Phone
(305) 560-5302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME81040 FL Primary

Addresses

Primary practice location

17395 NW 59TH Ave
Hialeah, FL 33015-5111

Mailing address

2003 SW 143Rd PL
Miami, FL 33175-8068
Phone (305) 560-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000664 FL Part B Supplier - Clinic/Group Practice 2668430679 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL; Miramar, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

17395 NW 59th Ave
Hialeah, FL 33015
Phone (305) 560-5302

14791 Oak Ln
Miami Lakes, FL 33016
Phone (305) 330-9977

600 N Hiatus Rd
Ste 205
Pembroke Pines, FL 33026
Phone (954) 430-9646

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1396028346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SW 143RD PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758068",
            "telephone_number": "305-560-5302",
            "fax_number": "305-826-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 NW 59TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155111",
            "telephone_number": "305-560-5302",
            "fax_number": "305-826-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO RIELO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "RIELO",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "305-560-5302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME81040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.