Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 230644 | MA |
Y | 111NI0900X | Internist | 230644 | MA |
N | 207RN0300X | Nephrologist | 230644 | MA |
NPI | 1013067057 |
---|---|
Provider Name | Leonardo V Riella |
First Address | Brookline, MA 02445-6018 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 18/06/2020 |