Individual provider Active NPI

Zuliem Ramos Revilla, APRN

  • Family Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1780212027
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006725 Issued in FL
Practice address
6500 66TH St N
Pinellas Park, FL 33781-5030
Phone
(813) 499-1500
Fax
(813) 499-1499
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006725 FL Primary

Addresses

Primary practice location

6500 66TH St N
Pinellas Park, FL 33781-5030

Mailing address

6500 66TH St N
Pinellas Park, FL 33781-5030
Phone (813) 499-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001410 FL Practitioner - Nurse Practitioner 5597160564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11006725FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Floridians Nurse Registry LLC Current Accepting new patients
Humanitary Medical Center Pinellas, Inc CurrentSince Jun 1, 2025 Accepting new patients
Humanitary Medical Center, Inc. Past Accepting new patients
LBH Med Group LLC PastSince May 12, 2021 Accepting new patients

Locations

6500 66th St N
Pinellas Park, FL 33781
Phone (727) 347-1286

3109 W Mlk Blvd
Ste 121
Tampa, FL 33607

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1780212027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815030",
            "telephone_number": "813-499-1500",
            "fax_number": "727-295-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 66TH ST N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815030",
            "telephone_number": "813-499-1500",
            "fax_number": "813-499-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS REVILLA",
        "first_name": "ZULIEM",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.