Ricardo Requena (NPI# 1093751000, PAC ID# 4880724327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1093751000 |
| PAC ID by PECOS | 4880724327 |
| Professional Enrollment ID | I20100610000361 |
| Full Name | Ricardo Requena |
| Organization Legal Name | SELECT PHYSICIANS ALLIANCE PL |
| Address |
6827 1st Ave S Suite 100 St Petersburg FL 33707-1242 |
| Phone Number | 8138798045 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9436323516 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100248 | LARGO MEDICAL CENTER |
| 100126 | PALMS OF PASADENA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 | 8138798045 | SELECT PHYSICIANS ALLIANCE PL |
| 900 Carillon Pkwy, Suite 300, St Petersburg, FL 33716-1118 | 8138798045 | SELECT PHYSICIANS ALLIANCE PL |
| Organization Legal Name | SELECT PHYSICIANS ALLIANCE PL |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karin Anne Frantz | Physical Therapy | Select Physicians Alliance Pl | 13015 Summerfield Square Dr, Riverview, FL 33578-7402 |
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Danielle Marie Stephens | Qualified Audiologist | Select Physicians Alliance Pl | 3006 W Azeele St, Tampa, FL 33609-3139 |
| Kayla J Peace | Qualified Audiologist | Select Physicians Alliance Pl | 1139 Nikki View Dr, Brandon, FL 33511-4879 |
| Vjolka Zaka | Qualified Audiologist | Select Physicians Alliance Pl | 5105 N Armenia Ave, Tampa, FL 33603-1405 |
| Francis A Derito | Otolaryngology | Select Physicians Alliance Pl | 511 W Alexander St, Suite 1, Plant City, FL 33563-7116 |
| Kevin Joseph Donnelly | Otolaryngology | Select Physicians Alliance Pl | 4714 N Armenia Ave, Suite 200, Tampa, FL 33603-2603 |
| Barbara L Drobes | Qualified Audiologist | Select Physicians Alliance Pl | 27406 Cashford Cir, Wesley Chapel, FL 33544-8199 |
| Janet Lee | Otolaryngology | Select Physicians Alliance Pl | 7433 Monika Manor Dr, Tampa, FL 33625-5814 |
| Lisa Faith Gavin | Qualified Audiologist | Select Physicians Alliance Pl | 5 Tampa General Cir, Suite 610, Tampa, FL 33606-3659 |
| Street Address |
6827 1ST AVE S SUITE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33707-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Joseph Leto | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Skye Dorsett Quamina | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Calli Keenan Fodor | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Helen L Techler | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Elisa M Lynskey | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Shelley S Jaquish | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Kelly E Murphy | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Jordan Lee Ericksen | Qualified Audiologist | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Warren S Goldstein | Otolaryngology | Select Physicians Alliance Pl | 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott E Kapulskey | Geriatric Medicine | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 | |
| Mark A Nowacki | Internal Medicine | 7011 1st Ave S, St Petersburg, FL 33707-1203 | |
| Rebeca Fajardo | Internal Medicine | Webber Primecare Medical Center LLC | 7035 1st S Ave, Saint Petersburg, FL 33707-1203 |
| Jane E Kienle | Geriatric Medicine | Dean A Bramlet M D P A | 7111 1st S Ave, Saint Petersburg, FL 33707-1223 |
| Timothy M Dunlevy | Otolaryngology | Pasadena Ent Pa | 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242 |
| David E Hall | Ophthalmology | Pasadena Eye Center, LLC | 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245 |
| Nathan R Emery | Ophthalmology | Pasadena Eye Center, LLC | 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245 |
| Fayssal El-jabali | Ophthalmology | Pasadena Eye Center, LLC | 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245 |
| Thomas E Hughes | Chiropractic | 214 Pasadena Ave S, Saint Petersburg, FL 33707-1251 | |
| Vijaya L Cherukuri | Geriatric Medicine | 218 Pasadena S Ave, Saint Petersburg, FL 33707-1251 | |
| Find all physicians in zip 33707 | |||
| City | ST PETERSBURG |
| Zip Code | 33707 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ST PETERSBURG + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Ricardo Requena.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.