Mauro Francisco Reyes Lopez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

113473 Issued in OR

Practice address

500 Monroe St
Medford, OR 97501-3522

Phone

(541) 608-6868

NPI assigned

Aug 1, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maslow Project

  • Case Management Agency
  • Medford, OR
  • NPI 1346883188
  NPD

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1295619450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MONROE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013522",
            "telephone_number": "541-608-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES LOPEZ",
        "first_name": "MAURO",
        "middle_name": "FRANCISCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "113473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina & Vitreous Center of Southern Oregon, PC
• Retina Care Center, LLC
• John Retzlaff, M.D.
• Jennifer Reviea
• Alexis Rewcastle Delgado, MA
• Anabel Reyes
• Maliah Reyes
• Yuliana Reyes
• Lydia Reymer
• Adrienne Reynolds

• Community Health Worker in Medford, OR
• Providers in Medford, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.