Antonio J Reyes MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0065030 Issued in FL

Legal business name

ANTONIO J REYES MD PA

Practice address

1350 SW 57TH Ave
Suite 314
West Miami, FL 33144-5775

Phone

(305) 267-2182

Fax

(305) 267-1244

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Antonio J Reyes, MD PA

Title

Physician

Phone

(305) 267-2182

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1194889816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-267-2182",
            "fax_number": "305-267-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-267-2182",
            "fax_number": "305-267-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO J REYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-267-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.