Individual
RADAMES REVILLA ORELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00921
(787) 758-4545
Mailing address
PALACIOS DEL ESCORIAL 10, APT 1061, CAROLINA, PR 00987
(787) 613-7748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37501
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2022
Last updated
07/25/2025
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