Diely Pichardo in Melbourne - Hematology & Oncology

Diely Pichardo - NPI 1194701573

Diely Pichardo is a Hematology & Oncology in Melbourne, Florida. Diely Pichardo practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Diely Pichardo is 1194701573. The last update date is 2019-01-07.

Diely Pichardo's current location address is 1430 S Pine St, Melbourne, Florida. You can contact this provider via phone number 3219520898 and fax number 3217221342. The mailing address for Diely Pichardo is 1430 S Pine St, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Diely Pichardo
Address 1430 S Pine St, Melbourne, Florida
Phone Number 3219520898
Fax Number 3217221342
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1194701573
Provider Enumeration Date 2005-12-19
Last Updated Date 2019-01-07

Provider Mailing Address Detail

Address 1430 S Pine St
City Melbourne
State Florida (FL)
Post Code 329013119
Phone Number 3219520898
Fax Number 3217221342

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No ME91834
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
287612 FL WELLCARE
3789162 FL AETNA
3411 FL BLUE CROSS BLUE SHIELD
6000828001 FL CIGNA
7653665 FL AETNA
272209700 FL --

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FAQs about Diely Pichardo

What is the Diely Pichardo's unique identification number?

The Diely Pichardo has been assigned the NPI (National Provider Identifier) Number 1194701573 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Diely Pichardo is geographically located?

The Diely Pichardo is physically situated at the following location: 1430 S Pine St, Melbourne, FL, 329013119.

What is the Diely Pichardo's specialty and taxonomy code?

The Diely Pichardo's specialty is Hematology & Oncology, and the corresponding taxonomy code is 207Rh0003X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194701573 to Diely Pichardo?

The Centers for Medicare & Medicaid Services assigned the 1194701573 to Diely Pichardo on 2005-12-19.

As of what date were the details related to Diely Pichardo most recently updated or revised?

The information pertaining to Diely Pichardo, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-07.

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