Ronald Gumamit Reyes, N/A

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

603 054 754 Issued in WA

Practice address

12707 SE 42ND St Apt B1
12707 SE 42ND St. Apt B1
Bellevue, WA 98006-1970

Phone

(425) 401-1353

Fax

(425) 401-1353

NPI assigned

Nov 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a N/a Former name

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1154622348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 SE 42ND ST.APT.B1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061970",
            "telephone_number": "425-401-1353",
            "fax_number": "425-401-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 SE 42ND ST APT B1",
            "address_2": "12707 SE 42ND ST. APT B1",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061970",
            "telephone_number": "425-401-1353",
            "fax_number": "425-401-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RONALD",
        "middle_name": "GUMAMIT",
        "name_prefix": "Mr.",
        "credential": "N/A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603 054 754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Reust, LMP
• Brian Dean Rewerts, ND
• Lorena Del Carmen Reyes Gil
• Devin Reyes
• George Reyes
• Emma Reynolds
• Marci Jeanine Reynolds, PHARMD
• Marcy Sarah Reynolds
• Anthony Rezac
• Rhema Anesthesia PLLC

• Durable Medical Equipment & Medical Supplies in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.