JUAN ANDRES REVILLA BA
NPI 1811159080
Case Manager/Care Coordinator in Sanford, FL

Q: What is Juan Revilla's NPI number?

The NPI number for Juan Revilla is 1811159080. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Juan Revilla's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Revilla was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2008

919 E 2ND ST, SANFORD, FL 32771(407) 321-3170(407) 321-3488 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Juan Andres Revilla Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN ANDRES REVILLA BA (NPI 1811159080) is an individual case manager/care coordinator provider in Sanford, Florida and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1811159080

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameJUAN ANDRES REVILLACredential: BA

Location Address919 E 2ND STSanford, FL 32771-2101

Mailing Address919 E 2nd StSanford, FL 32771-2101 · (407) 321-3170 · Fax (407) 321-3488

Phone(407) 321-3170

Fax(407) 321-3488

Sole ProprietorNo

Enumeration DateJune 30, 2008

✔ NPI 1811159080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

919 E 2ND ST, Sanford, FL 32771

Open in Google Maps ↗

Other Identifiers 1

Medicaid1164581633FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MELISSA ANN MCMILLEN LMHC

Counselor (Mental Health)