Provider Demographics
NPI:1922172600
Name:ARROGANTE, REVELYN GILOK (MD)
Entity Type:Individual
Prefix:
First Name:REVELYN
Middle Name:GILOK
Last Name:ARROGANTE
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 1:1437 DENVER AVE
Mailing Address - Street 2:#128
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-5226
Mailing Address - Country:US
Mailing Address - Phone:303-761-1215
Mailing Address - Fax:303-761-4790
Practice Address - Street 1:4401 UNION ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-2800
Practice Address - Country:US
Practice Address - Phone:970-619-3400
Practice Address - Fax:970-278-9341
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO50793208100000X
CAA93639208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1922172600Medicaid
CO65177053Medicaid
CO65177053Medicaid
CABQ586AMedicare PIN