Active NPI
Reynaldo Jorge Pereira, SURGICAL ASSISTANT
- Cardiovascular Specialist/Technologist
- Shoreview, MN
National Provider Identifier
1083690853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Specialist/Technologist
- License
- 1506 ( CERTIF.)
- Practice address
- 899 Amble Rd
Shoreview, MN 55126-2230 - Phone
- (651) 481-8144
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Specialist/Technologist | 246X00000X | 1506 ( CERTIF.) | VA | Primary |
Addresses
Primary practice location
899 Amble Rd
Shoreview, MN 55126-2230
Mailing address
899 Amble Rd
Shoreview, MN 55126-2230
Phone (651) 481-8144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1506 ( CERTIF.) | VA | MD | Cardiovascular Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083690853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 AMBLE RD",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262230",
"telephone_number": "651-481-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 AMBLE RD",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262230",
"telephone_number": "651-481-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "REYNALDO",
"middle_name": "JORGE",
"name_prefix": "Mr.",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "246X00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular",
"state": "VA",
"license": "1506 ( CERTIF.)",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.