ANDREW DEVERA RONQUILLO NPI 1316213929

NPI Information

NPI: 1316213929
Provider Name: ANDREW DEVERA RONQUILLO
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6980 N PORT WASHINGTON RD
SUITE 202
MILWAUKEE, WI
ZIP 53217
Phone: (414) 351-7100
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Andrew Devera Ronquillo is a professional counselor in Milwaukee, WI. Andrew Devera Ronquillo NPI is 1316213929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6980 N PORT WASHINGTON RD
SUITE 202
MILWAUKEE, WI
ZIP 53217-900
Phone: (414) 351-7100
Fax: (414) 247-4082

The enumeration date for this NPI number is 3/28/2012 and was last updated on 8/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16286-130	WISCONSIN	No
2	101YP2500X	Counselor	Professional	5489	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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