Active NPI
Eduardo Jesus Rey Jr.
- Registered Nurse
- El Paso, TX
National Provider Identifier
1336768837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 873479
- Practice address
- 1808 Marlys Larson St
El Paso, TX 79936-5080 - Phone
- (915) 491-0667
- NPI assigned
- Apr 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 873479 | TX | Primary |
Addresses
Primary practice location
1808 Marlys Larson St
El Paso, TX 79936-5080
Mailing address
1808 Marlys Larson St
El Paso, TX 79936-5080
Phone (915) 491-0667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873479 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1336768837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1808 MARLYS LARSON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365080",
"telephone_number": "915-491-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1808 MARLYS LARSON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799365080",
"telephone_number": "915-491-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REY",
"first_name": "EDUARDO",
"middle_name": "JESUS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "873479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.