Individual
MR. ENRIQUE ROMO AREVALOS
Active
Individual
MR. ENRIQUE ROMO AREVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23804
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509245
MEDICAID - MTI
TN
05
—
1509245
—
TN
05
—
3889765
—
TN
01
—
4068493
BCBS
TN
01
—
4068871
BCBS
TN
01
—
4200905
BCBS TN
TN
01
—
4291399
BCBS - MTI
TN
01
—
64108897
KY MEDICAID
KY
01
—
PENDING
RAILROAD MEDICARE
TN
Enumeration date
05/23/2006
Last updated
07/14/2015
Update your record
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