Active NPI
Reinaldo E. Kianes, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1104801380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6233
- Practice address
- 400 Calle Fernando Montilla
San Juan, PR 00918-2600 - Phone
- (787) 765-6334
- Fax
- (787) 765-8872
- NPI assigned
- Dec 11, 2005
- Last updated
- Jan 28, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6233 | PR | Primary |
Addresses
Primary practice location
400 Calle Fernando Montilla
San Juan, PR 00918-2600
Mailing address
PO Box 25159
San Juan, PR 00928-5159
Phone (787) 765-6334
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6233 | PR | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1104801380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25159",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009285159",
"telephone_number": "787-765-6334",
"fax_number": "787-765-8872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CALLE FERNANDO MONTILLA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182600",
"telephone_number": "787-765-6334",
"fax_number": "787-765-8872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIANES",
"first_name": "REINALDO",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-11",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "6233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.