Jose Luis Reyes

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

JOSE LUIS REYES

Practice address

77 E Park St
Center Hill, FL 33514-4629

Phone

(787) 221-2198

NPI assigned

Sep 20, 2015

Last updated

Sep 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Luis Reyes, BA

Title

Waiver Support Coordinator

Phone

(787) 221-2198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442707200000",
    "number": "1235508243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E PARK ST",
            "city": "CENTER HILL",
            "state": "FL",
            "postal_code": "335144629",
            "telephone_number": "787-221-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E PARK ST",
            "city": "CENTER HILL",
            "state": "FL",
            "postal_code": "335144629",
            "telephone_number": "787-221-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LUIS REYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-20",
        "last_updated": "2015-09-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "WAIVER SUPPORT COORDINATOR",
        "authorized_official_telephone_number": "787-221-2198",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorene Tender Care, Inc.
• Sophia L Posada-Benitez

• Exclusive Provider Organization in Center Hill, FL
• Providers in Center Hill, FL by specialty
• Exclusive Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.