Individual
MR. ENRIQUE ROMO AREVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
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
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