MEDICARE: MICHAEL RYAN AQUINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085P0229X	Pediatric Radiology Physician	35	OH
2	2085R0202X	Diagnostic Radiology Physician	35.124366	OH
3	2085P0229X	Pediatric Radiology Physician	331295	LA

General Provider Information

NPI Number	:	1467616391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL RYAN AQUINO

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	RADIOLOGY ML 5031
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4251
Fax Number	:	513-636-8145

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	RADIOLOGY ML 5031
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4251
Fax Number	:	513-636-8145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	03/03/2026

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Directions to “ MICHAEL RYAN AQUINO ” Practice Location

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