Eduardo a. Reyes MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

100147 Issued in FL

Legal business name

EDUARDO A. REYES MD PA

Practice address

6450 W 21St CT Ste 204
Hialeah, FL 33016-3942

Phone

(305) 826-4424

Fax

(305) 826-4426

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Eduardo Antonio Reyes, MDNPI 1689850182

Title

President

Phone

(305) 826-4424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dr Reyes Inpatient Service LLC

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1154995405

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Antonio Reyes, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1689850182
  Medicare reassignment NPD Authorized official
• Yainet Gonzalez, NP

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1659114874
  NPD

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1346401171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT STE 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163942",
            "telephone_number": "305-826-4424",
            "fax_number": "305-826-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 21ST CT STE 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163942",
            "telephone_number": "305-826-4424",
            "fax_number": "305-826-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO A. REYES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-826-4424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "100147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edelio Gonzalez DMD, PA
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• Edilia Roman MD PA
• Eduardo G Gomez MD PA
• Eduardo G Martinez MD PA
• Eduardo J Garrido DC PA
• Eduardo Lavado MD PA
• Eduardo Montilla MD PA

• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.