Individual provider Active NPI

Maritza Trinidad Reyes, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Rio Piedras, PR
National Provider Identifier
1265456040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
5963 Issued in PR
Practice address
Veterans Hospital Casia Street
Number 10
Rio Piedras, PR 00926-6013
Phone
(787) 641-7582
Fax
(787) 641-7595
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 5963 PR Primary

Addresses

Primary practice location

Veterans Hospital Casia Street
Number 10
Rio Piedras, PR 00926-6013

Mailing address

El Sonerial Mail Station Box 641
Winston Churchill Av.138
Rio Piedras, PR 00926-6013
Phone (787) 790-2089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000017 PR Practitioner - Family Practice 0941482350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 A Calle Munoz Rivera
Vega Alta, PR 00692-6501
Phone (787) 883-5917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5963PRMDGeriatric Medicine (Family Medicine) Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265456040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL SONERIAL MAIL STATION BOX 641",
            "address_2": "WINSTON CHURCHILL AV.138",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-790-2089",
            "fax_number": "787-790-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS HOSPITAL CASIA STREET",
            "address_2": "NUMBER 10",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD REYES",
        "first_name": "MARITZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "5963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.