Nielson Jose Reyes, M. D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17457 Issued in PR

Practice address

Chalets San Lorenzo
304 C
Arecibo, PR 00612

Phone

(787) 384-6611

Fax

(787) 816-8472

NPI assigned

Jan 20, 2009

Last updated

Feb 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: nielson.reyes-cordero.1@29290.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1760723696
  Medicare reassignment NPD
• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment
• Metro Pavia Healthcare Center

  dba Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841694072
  NPD
• Metro Pavia Healthcare Centers Inc

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
  • NPI 1104166750
  NPD
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1356588818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006130001",
            "telephone_number": "787-384-6611",
            "fax_number": "787-816-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHALETS SAN LORENZO",
            "address_2": "304 C",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-384-6611",
            "fax_number": "787-816-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NIELSON",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Care PSC
• Maria Lourdes Rey, RPH
• Rosangela Reyes del Rio, PH.D
• Kasandra Reyes Rivera
• Edgar Reyes, D.M.D.
• Sara Rico, CSW,MSW
• Yamet Alfred Rios Lopez, MD
• Axel Rios Natal
• Nishbeth Gimar Rios Rivera, PSY.D
• Dianelis Rios Torres, MD

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.