A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Vascular Surgery | 2086S0129X |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
* Indicates primary specialty
| NPI Number | 1548532088 |
| Legal business name LBN |
ANTONIO G. REVILLA JR., M.D. P.A. |
| Authorized official | ANTONIO REVILLA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 01/30/2012 |
| Last updated | 02/17/2012 - About 14 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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