Active NPI
Rey Leal, APN
- Nurse Practitioner
- El Paso, TX
National Provider Identifier
1124233796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 648606
- Practice address
- 616 N. Virginia
Suite F
El Paso, TX 79902-5311 - Phone
- (915) 544-6800
- Fax
- (915) 544-6801
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 648606 | TX | Primary |
Addresses
Primary practice location
616 N. Virginia
Suite F
El Paso, TX 79902-5311
Mailing address
904 Cherry Hill LN
El Paso, TX 79912-3327
Phone (915) 383-1401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178776401 | Medicaid | TX |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1124233796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 CHERRY HILL LN",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123327",
"telephone_number": "915-383-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 N. VIRGINIA",
"address_2": "SUITE F",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025311",
"telephone_number": "915-544-6800",
"fax_number": "915-544-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL",
"first_name": "REY",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "648606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178776401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.