Provider Demographics
NPI:1063431591
Name:DEL RIEGO, SILVIA GARCIA FLORES (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:GARCIA FLORES
Last Name:DEL RIEGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4275 CAMPUS POINT CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1513
Mailing Address - Country:US
Mailing Address - Phone:858-336-8490
Mailing Address - Fax:
Practice Address - Street 1:4275 CAMPUS POINT CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1513
Practice Address - Country:US
Practice Address - Phone:858-336-8490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA75598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH70406Medicare UPIN