Provider Type Icon

MANUEL REVUELTA MD NPI 1184606097


NPI Information

NPI: 1184606097
Provider Name: MANUEL REVUELTA, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

Organization: COLUMBIA MEMORIAL HOSPITAL

PECOS Registration: Yes

Address:
2780 CLEVELAND AVE
SUITE 809
FORT MYERS, FL
ZIP 33901
Phone: (239) 343-9680
Get Directions

Manuel Revuelta, MD is an infectious disease internal medicine in Fort Myers, FL with 34 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Manuel Revuelta, MD NPI is 1184606097. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1990

The provider's business location address is:

2780 CLEVELAND AVE
SUITE 809
FORT MYERS, FL
ZIP 33901-817
Phone: (239) 343-9680
Fax: (239) 343-9685

The NPI 1184606097 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 11/16/2005 and was last updated on 5/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine199820NEW YORKNo
2207RI0200XInternal MedicineInfectious Disease199820NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101620240MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.