Benjamin Gonzalez Reyes, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1142 Issued in PR

Practice address

Plazoleta Las Americas 2015
Ave. Las Americas Suite 101
Ponce, PR 00717

Phone

(787) 259-5151

Fax

(787) 290-4472

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013063882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 320 1575 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-259-5151",
            "fax_number": "787-290-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZOLETA LAS AMERICAS 2015",
            "address_2": "AVE. LAS AMERICAS SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-259-5151",
            "fax_number": "787-290-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BENJAMIN",
        "middle_name": "GONZALEZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1142",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vilmarie Reyes Flores, PHL
• Christian Louis Reyes Reyes, PSY.D.
• Angel Janiel Reyes Roman
• Katherine Marie Reyes Valentin
• Axel David Reyes Vazquez
• Blanca Estela Reyes, PH.D.
• Edgardo Reyes
• Ivon L Reyes, RAPT
• Jessica Reyes, DOULA
• Miriany Angely Reyes

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.