Individual
DR. JOSE MARCELO LLERENA-RIQUELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5503
(216) 448-0621
(216) 448-0220
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-5503
(216) 448-0621
(216) 448-0220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K4488
TX
2085R0204X
Vascular & Interventional Radiology Physician
K4488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059227108
—
TX
Enumeration date
05/18/2006
Last updated
08/25/2021
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