Active NPI
Manuel A. Reyes, M.D.
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME64258
- Practice address
- 14011 Beach Blvd Ste 210-220
Jacksonville, FL 32250-1694 - Phone
- (904) 367-2277
- Fax
- (904) 421-3788
- NPI assigned
- May 12, 2006
- Last updated
- Mar 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 72356 | AZ | |
| Family Medicine Physician | 207Q00000X | ME64258 | FL | Primary |
Addresses
Primary practice location
14011 Beach Blvd Ste 210-220
Jacksonville, FL 32250-1694
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (904) 745-3618
Other practice location 1
14444 Beach Blvd Ste 28
Jacksonville, FL 32250-2080
Phone (904) 367-2277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373531100 | Medicaid | FL | |
| 080146620 | Other | FL | RAILROAD MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Indiana University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 E Picacho Rd
Winterhaven, CA 92283-9605
401 Picacho Rd
Winterhaven, CA 92283-9605
Phone (760) 572-4137
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME64258 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS IHS Phoenix Area | Current | Accepting new patients | |
| Archwell Health Professional Services of Arizona, LLC | Current | Accepting new patients | |
| Santa Ana Health Center | Current | Accepting new patients | |
| Albuquerque Indian Health Center | Current | Accepting new patients | |
| Family Care Partners of Northeast Florida LLC | Family Medicine | Past | Accepting new patients |
| Family Care Partners Urgent Care, LLC | Past | Accepting new patients | |
| Baycare Medical Group Pediatric Walk-in, LLC | Family Medicine | Past | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in Care LLC | Past | Accepting new patients |
Locations
4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260
2940 S 6th Ave
Tucson, AZ 85713
Phone (520) 613-1001
401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100
801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000
2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497
4100 W 150th St
Cleveland, OH 44135
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- https://api.platform.athenahealth.com/27472/brand/1/csg/1/fhir/r4
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ft Yuma Indian Health Center
- Clinic/Center
- Winterhaven, CA
- NPI 1265719918
TX
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1558026880
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750323143
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
Family Medicine
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1114529856
-
dba ERgent Care
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1386147882
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1245281708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "904-745-3618",
"fax_number": "689-304-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14011 BEACH BLVD STE 210-220",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322501694",
"telephone_number": "904-367-2277",
"fax_number": "904-421-3788"
}
],
"practiceLocations": [
{
"address_1": "14444 Beach Blvd Ste 28",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322502080",
"country_code": "US",
"telephone_number": "904-367-2277",
"fax_number": "904-421-3788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "MANUEL",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "72356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME64258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373531100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "080146620",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.