Organization Active NPI

Reynoso MD Medical Center LLC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1336384551
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12818 Issued in AZ
Legal business name
REYNOSO MD MEDICAL CENTER LLC
Practice address
8595 E Bell Rd
Suite 103
Scottsdale, AZ 85260-1306
Phone
(480) 659-1509
Fax
(480) 659-0275
NPI assigned
Dec 3, 2008
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Jennifer G Reynoso
Title
Practice Administrator
Phone
(480) 659-1509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12818 AZ Primary

Addresses

Primary practice location

8595 E Bell Rd
Suite 103
Scottsdale, AZ 85260-1306

Mailing address

8595 E Bell Rd
Suite 103
Scottsdale, AZ 85260-1306
Phone (480) 659-1509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1336384551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-659-1509",
            "fax_number": "480-659-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 E BELL RD",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601306",
            "telephone_number": "480-659-1509",
            "fax_number": "480-659-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOSO MD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "480-659-1509"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "12818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.