Rubit Miroslaba Reyes Romero

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-SKAHRI Issued in CA

Practice address

44199 Monroe St
Indio, CA 92201-3096

Phone

(760) 609-2010

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1154076644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49615 CESAR CHAVEZ ST SPC 106",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361430",
            "telephone_number": "760-609-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-609-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES ROMERO",
        "first_name": "RUBIT",
        "middle_name": "MIROSLABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "MPSS-SKAHRI",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-SKAHRI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Arnold Requeno
• Retina Institute of California Medical Group, a California Medical Par
• Retina Institute of California Medical Group, a California Medical Par
• Sharon Reuben, MD
• Jose Luis Reyes Romero
• Alejandro Alfredo Reyes, LCSW78802
• Anna Maria Reyes
• Ashley Reyes
• Maria Jimena Reyes
• Shane Reyes

• All providers in Indio, CA
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.