Jose R. Reyna, Jr., M.D., P.a.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

2001-88 Issued in NM

Legal business name

JOSE R. REYNA, JR., M.D., P.A.

Practice address

435 Saint Michaels Dr
Suite a-202
Santa Fe, NM 87505-7672

Phone

(505) 820-2600

Fax

(505) 820-2602

NPI assigned

Oct 21, 2008

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Reynaldo Reyna Jr., M.D.

Title

Owner/Physician

Phone

(505) 820-2600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1043462104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR",
            "address_2": "SUITE A-202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-820-2600",
            "fax_number": "505-820-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR",
            "address_2": "SUITE A-202",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-820-2600",
            "fax_number": "505-820-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE R. REYNA, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "505-820-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NM",
            "license": "2001-88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1048",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Journey Well

• Orthopaedic Surgery of the Spine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Orthopaedic Surgery of the Spine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.