Jose A Reilova, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

207ZP0101X Issued in FL

Practice address

1335 Valentine St
Melbourne, FL 32901-3127

Phone

(321) 956-2986

Fax

(321) 956-9430

NPI assigned

Sep 27, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Atlantic Pathology Group, PA

  • Clinical Medical Laboratory
  • Melbourne, FL
  • NPI 1972694073
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1306937354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-956-2986",
            "fax_number": "321-956-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-956-2986",
            "fax_number": "321-956-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILOVA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "207ZP0101X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "09827",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01043316",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehab Specialists East Coast
• Rehabclinics (Pta) Inc (NovaCare Rehabilitation)
• Rehabilitation on Demand, LLC
• Christopher S Rehak, M.D.
• Erika Jennifer Reid, LCSW
• Jose Gabriel Reina Montes
• Ann Reinhart, ARNP
• Pasquale Franco Reino, D.O.
• Tia Reis
• Jeffy Aashee Reji, RBT

• Anatomic Pathology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.