IVAN ARIEL CRUZ REPOLLET M.D. NPI 1609282722

NPI Information

NPI: 1609282722
Provider Name: IVAN ARIEL CRUZ REPOLLET, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4340 W HILLSBOROUGH AVE STE 210
TAMPA, FL
ZIP 33614
Phone: (813) 425-8970
Get Directions

Ivan Ariel Cruz Repollet, M.D. is a general practice in Tampa, FL with 10 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ivan Ariel Cruz Repollet, M.D. NPI is 1609282722. 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:

4340 W HILLSBOROUGH AVE STE 210
TAMPA, FL
ZIP 33614-522
Phone: (813) 425-8970
Fax: (813) 425-8925

The NPI 1609282722 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 enumeration date for this NPI number is 7/9/2014 and was last updated on 1/18/2024.

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	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program	13,569-I	PUERTO RICO	No
2	208D00000X	General Practice	ME153523	FLORIDA	Yes
3	207Q00000X	Family Medicine	0441252	KANSAS	No
4	207Q00000X	Family Medicine	ME153523	FLORIDA	No
5	208D00000X	General Practice	19,231	PUERTO RICO	No

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: 4/28/2024

NPI Synchronization or Removal

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