Raul A. Reyes

Primary specialty

SpecialistTaxonomy code 174400000X

License

5904 Issued in PR

Practice address

601 Calle Niza
Villa Capri
San Juan, PR 00924-4054

Phone

(787) 760-2580

NPI assigned

Sep 20, 2005

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1215923834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-4 CALLE 5",
            "address_2": "MANSIONES DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693312",
            "telephone_number": "787-720-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CALLE NIZA",
            "address_2": "VILLA CAPRI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009244054",
            "telephone_number": "787-760-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0097843",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lusmarie Reyes
• Maria Judith Reyes, R.PH.,PHARMD.,MHP
• Maria Soledad Reyes, MA
• Michelys E Reyes
• Priscilla M Reyes, MS
• Solimar Reyes
• Wenceslao Reyes
• Raul E Reymundi-Rivera, MD
• Marines Reyna, D.C.
• Juan A Reynoso, RPH

• Specialist in San Juan, PR
• Providers in San Juan, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.