Individual provider Active NPI

Joahnibel Reyes, MD

  • Child & Adolescent Psychiatry Physician
  • San Juan, PR
National Provider Identifier
1164806063
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
21366 Issued in PR
Practice address
500 Calle Baez
San Juan, PR 00917-5020
Phone
(787) 767-6710
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21366 PR
Child & Adolescent Psychiatry Physician 2084P0804X 21366 PR Primary

Addresses

Primary practice location

500 Calle Baez
San Juan, PR 00917-5020

Mailing address

PO Box 2116
San Juan, PR 00922-2116
Phone (787) 754-0101

Other practice location 1

University District Hospital Puerto Rico Medical Center
Bo. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504000689 PR Practitioner - Psychiatry 3678938263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21366PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Psychiatry CurrentSince Jan 12, 2023 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jan 12, 2023 Accepting new patients
Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc CurrentSince Oct 1, 2020 Accepting new patients
Atypical Brains, LLC Child & Adolescent Psychiatry Current Accepting new patients
Aos Peds Rehab, LLC PastSince Jun 21, 2020 Accepting new patients

Locations

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935

500 Calle Baez
San Juan, PR 00917
Phone 787767671067

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1164806063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2116",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222116",
            "telephone_number": "787-754-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CALLE BAEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175020",
            "telephone_number": "787-767-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital Puerto Rico Medical Center",
            "address_2": "Bo. Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOAHNIBEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "21366",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "21366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.