Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A125791 | CA |
Y | 204F00000X | Transplant Surgeon | ME124430 | FL |
NPI | 1295971430 |
---|---|
Provider Name | Dr. Diego C Reino |
First Address | Tampa, FL 33606-2707 |
Second Address | Tampa, FL 33606-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 08/06/2021 |