Ricardo Reyes Jr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1208 E Broadway Rd Ste 215
Tempe, AZ 85282-1512

Phone

(480) 699-1233

Fax

(480) 907-7082

NPI assigned

Jan 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1013338482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214918",
            "telephone_number": "602-866-9378",
            "fax_number": "602-866-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E BROADWAY RD STE 215",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821512",
            "telephone_number": "480-699-1233",
            "fax_number": "480-907-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RICARDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Physical Therapy and Wellness, PLLC
• Jascelyn Ann Revland, M.A.
• Reyes Family Medicine, PLC
• James A Reyes
• Martha L Reyes, MD
• Rochelle Reyes, R.N
• Sofia Sylvia Reyes
• Valerie D Reynolds, LPC
• Vanessa Reynolds
• Rachael Ashley Rezzonico, PA-C

• Case Manager/Care Coordinator in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Case Manager/Care Coordinator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.