Active NPI
Reynoso MD Medical Center LLC
- Family Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1336384551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12818
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.