RODOLFO M. REVILLA – NPI #1477666279
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

RODOLFO REVILLA is a physician located in EL PASO, TX. NPPES has assigned the NPI number 1477666279 to RODOLFO REVILLA on August 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was last updated on Feb 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RODOLFO REVILLA below.

NPI Profile for
RODOLFO M. REVILLA

NPI Number
1477666279
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RODOLFO M. REVILLA
Primary location
1700 CURIE DR STE 1500
EL PASO, TX 79902-2980
Phone: (915) 532-9100 Fax:
Mailing address
1600 MEDICAL CENTER DR STE 309
EL PASO, TX 79902-5008
Phone: (915) 532-9100 Fax: (915) 532-9652
Sole Proprietor
No
Updated
Certification Date
Feb 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 TX J2462

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RODOLFO REVILLA is affiliated with the following medical group(s):
  • HOSPITAL
    • THE HOSPITALS OF PROVIDENCE - EAST CAMPUS
      3280 JOE BATTLE BLVD
      EL PASO, TX 79938

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