ANDREW DEVERA RONQUILLO NPI 1316213929

NPI Information

  • NPI: 1316213929
  • Provider Name: ANDREW DEVERA RONQUILLO
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6980 N PORT WASHINGTON RD
    MILWAUKEE, WI
    ZIP 53217
  • Phone: (414) 351-7100

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NPI Details

Andrew Devera Ronquillo is a professional counselor in Milwaukee, WI with 14 years of experience. 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
MILWAUKEE, WI
ZIP 53217-900
Phone: (414) 351-7100
Fax: (414) 247-4082

The NPI 1316213929 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.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 10/7/2025.

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
1101YP2500XCounselorProfessional5489WISCONSINYes
2101YA0400XCounselorAddiction (Substance Use Disorder)16286-130WISCONSINNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100033352MEDICAIDWISCONSIN

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: 11/21/2025

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