Provider Demographics
NPI:1790757037
Name:KRIEGER, DIANE R (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:R
Last Name:KRIEGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6141 SUNSET DR STE 403
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5026
Mailing Address - Country:US
Mailing Address - Phone:305-665-2300
Mailing Address - Fax:305-669-8966
Practice Address - Street 1:6141 SUNSET DR STE 403
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5026
Practice Address - Country:US
Practice Address - Phone:305-665-2300
Practice Address - Fax:305-669-8966
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53669207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL203066OtherAVMED
FLU006OOtherBCBS
FL07886XOtherMEDICARE
FL042989904OtherAETNA
FL042989904OtherCIGNA
FL042989904OtherOXFORD HEALTH
FL0634OtherNEIGHBORHOOD HEALTH PARTNERSHIP
FL042989904OtherAVMED
FL042989904OtherGOLDEN RULE
FL042989904OtherUNITED HEALTHCARE
FL812245420OtherAVMED