Organization Active NPI

Ronald Emilio Reyna, M.D., Professional Association

Doing business as Reyna Plastic Surgery

  • Plastic Surgery Physician
  • Miami, FL
National Provider Identifier
1063642817
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME 104025 Issued in FL
Legal business name
RONALD EMILIO REYNA, M.D., PROFESSIONAL ASSOCIATION
Doing business as
Reyna Plastic Surgery
Practice address
3661 S Miami Ave
Suite 609
Miami, FL 33133-4236
Phone
(305) 856-8565
NPI assigned
Jul 15, 2009
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Dr. Ronald Emilio Reyna, M.D.NPI 1861579344
Title
Director
Phone
(305) 856-8565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X ME 104025 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 609
Miami, FL 33133-4236

Mailing address

3850 Bird Rd Ste 102
Miami, FL 33146-1521
Phone (305) 856-8565

Other names 1

  • Reyna Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090728000728 FL Part B Supplier - Clinic/Group Practice 8527111236 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

3683 S Miami Ave
Ste 370
Miami, FL 33133
Phone (843) 367-0150

3850 Bird Rd
Ste 102
Miami, FL 33146
Phone (305) 448-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1063642817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331461521",
            "telephone_number": "305-856-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 609",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-856-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD EMILIO REYNA, M.D., PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-856-8565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME 104025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reyna Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reyna Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.