Leovigildo Reyes MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

LEOVIGILDO REYES MD PA

Practice address

4401 N Andrews Ave
Oakland Park, FL 33309-3917

Phone

(954) 900-4686

Fax

(954) 900-2655

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Ricardo J. Simmons, RN

Title

Manager

Phone

(954) 900-4686

Specialties & licenses 1

Addresses

Other names 1

• Port St. Lucie Pain & Medical Institue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Leovigildo J Reyes, M.D.

  • Interventional Pain Medicine Physician
  • Oakland Park, FL
  • NPI 1104810399
  Medicare reassignment NPD

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1184307456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093917",
            "telephone_number": "954-900-4686",
            "fax_number": "954-900-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N ANDREWS AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333093917",
            "telephone_number": "954-900-4686",
            "fax_number": "954-900-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOVIGILDO REYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-900-4686",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port St. Lucie Pain & Medical Institue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Port St. Lucie Pain & Medical Institue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Noah Lee, D.O.
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• Karen Stephanie Leon Lopez
• Whitney E Leon, LCSW
• Elise Leppard
• Robert Cash Lewin, D.C.
• Yolanda Lewis
• Celio Leyva Romero
• Codie Li

• Interventional Pain Medicine Physician in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.