Diana Revenco is a Nuclear Cardiology in Tampa, Florida. Diana Revenco practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Diana Revenco is 1386810091. The last update date is 2023-09-15.
Diana Revenco's current location address is 6919 N Dale Mabry Hwy Ste 125, Tampa, Florida. You can contact this provider via phone number 8134979661 and fax number 8136158468. The mailing address for Diana Revenco is 6919 N Dale Mabry Hwy Ste 125, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Revenco |
|---|---|
| Address | 6919 N Dale Mabry Hwy Ste 125, Tampa, Florida |
| Phone Number | 8134979661 |
| Fax Number | 8136158468 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386810091 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2023-09-15 |
Provider Mailing Address Detail
| Address | 6919 N Dale Mabry Hwy Ste 125 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336143972 |
| Phone Number | 8134979661 |
| Fax Number | 8136158468 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
| Licence No | 15634 |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01138997 | NH | RR MEDICARE | |
| 3075998 | NH | -- | |
| 1386810091 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diana Revenco by the Centers for Medicare & Medicaid Services?
The Diana Revenco has been assigned the NPI (National Provider Identifier) 1386810091 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Diana Revenco?
The Diana Revenco is situated at 6919 N Dale Mabry Hwy Ste 125, in the city of Tampa, state of FL, with the zip code 336143972.
What is the Diana Revenco's specialty and taxonomy code?
The Diana Revenco's specialty is Nuclear Cardiology, and the corresponding taxonomy code is 207Un0901X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386810091 to Diana Revenco?
The Diana Revenco received its 1386810091 assignment from the Centers for Medicare & Medicaid Services on 2008-05-02.
As of what date were the Diana Revenco's details last updated?
The information pertaining to the Diana Revenco, including its address, specialty, and other details, was most recently updated on 2023-09-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN