Radames Revilla Orellano, MD is a
Student In An Organized Health Care Education/training Program physician based in San Juan, Puerto Rico. Radames Revilla Orellano is licensed to practice in * (Not Available) (license number ) and his current practice location is Paseo Dr. Jose Celso Barbosa, San Juan, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 758-4545.
NPI number for Radames Revilla Orellano is 1841931045 and his current mailing address is Altos Del Escorial 504. Blvd Media Luna Apt. 402, Carolina, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841931045.
Physician's Profile
| Full Name | Radames Revilla Orellano |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | Paseo Dr. Jose Celso Barbosa, San Juan, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841931045
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 12/30/2024
Medical Identifiers
Medical identifiers for Radames Revilla Orellano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841931045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 17087 (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Radames Revilla Orellano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Radames Revilla Orellano, MD
Altos Del Escorial 504. Blvd Media Luna Apt. 402,
Carolina, PR 00987
Ph: (787) 613-7748 | Radames Revilla Orellano, MD
Paseo Dr. Jose Celso Barbosa,
San Juan, PR 00921
Ph: (787) 758-4545 |
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