Marylu Reyes Macabuhay, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

11047 Issued in AZ

Practice address

6120 W Bell Rd
Suite 160
Glendale, AZ 85308-3781

Phone

(602) 978-5727

Fax

(602) 978-9186

NPI assigned

Dec 19, 2006

Sex

Female

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093878811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "602-978-5727",
            "fax_number": "602-978-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "602-978-5727",
            "fax_number": "602-978-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACABUHAY",
        "first_name": "MARYLU",
        "middle_name": "REYES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AZ",
            "license": "11047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Ma, PHARM.D
• Stacy Maahs, FNP-C
• Dilawar Maan
• Amy Suzanne Mabry, DNP, RN, CPNP-PC
• John H Mabry, MD
• Ronolfo Secreto Macabuhay, MD
• Frank Macalma, AGACNP, RN
• Tammy L Macalpine, LISAC
• Adriana Jesse Macdonald
• Joshua Luke Macdonald, MSOTR/L

• Pediatric Adolescent Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Adolescent Medicine Physician in Arizona

• 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.