SearchFlorida106S00000X

Diego Revilla

NPI 1992567358 · on the registry since 2024 · sole proprietor

Practice

Address
11682 Sw 91st Ter
Miami, FL 33176
Phone
(305) 321-5133

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida