Provider Demographics
NPI:1205414729
Name:REVE URGELLES, ADDYS DEL CARMEN (MD)
Entity type:Individual
Prefix:
First Name:ADDYS DEL CARMEN
Middle Name:
Last Name:REVE URGELLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1326
Mailing Address - Country:US
Mailing Address - Phone:239-423-0272
Mailing Address - Fax:239-423-0292
Practice Address - Street 1:4760 TAMIAMI TRL N STE 25
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3065
Practice Address - Country:US
Practice Address - Phone:239-423-0272
Practice Address - Fax:239-423-0292
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME163785207Q00000X, 207Q00000X
TRN32250390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program