Organization Active NPI

Blas a Reyes MD PA

  • MOHS-Micrographic Surgery Physician
  • Miami, FL
National Provider Identifier
1104993005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
BLAS A REYES MD PA
Practice address
8940 N Kendall Dr
1002 E
Miami, FL 33176-2178
Phone
(305) 273-8337
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Blas A Reyes, MDNPI 1568528081
Title
Director Doctor
Phone
(305) 273-8337

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
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X FL Primary

Addresses

Primary practice location

8940 N Kendall Dr
1002 E
Miami, FL 33176-2178

Mailing address

8940 N Kendall Drive
#1002 E
Miami, FL 33176-2178
Phone (305) 273-8337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000654 FL Part B Supplier - Clinic/Group Practice 5799795365 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8940 N Kendall Dr
Ste 1002E
Miami, FL 33176
Phone (305) 273-8337

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104993005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DRIVE",
            "address_2": "#1002 E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762178",
            "telephone_number": "305-273-8337",
            "fax_number": "305-273-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR",
            "address_2": "1002 E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762178",
            "telephone_number": "305-273-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAS A REYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "BLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR DOCTOR",
        "authorized_official_telephone_number": "305-273-8337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.