Individual provider Active NPI

Hector Orlando Santos Reyes, M.D.

  • Pediatrics Physician
  • Cidra, PR
National Provider Identifier
1396711180
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7893 Issued in PR
Practice address
Route No. 734, KM. 0.5
Salida Hacia Cayey Via Bo. Arenas
Cidra, PR 00739-1832
Phone
(787) 739-8295
Fax
(787) 739-3588
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7893 PR Primary

Addresses

Primary practice location

Route No. 734, KM. 0.5
Salida Hacia Cayey Via Bo. Arenas
Cidra, PR 00739-1832

Mailing address

PO Box 1832
Cidra, PR 00739-1832
Phone (787) 739-8295

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170208002260 PR Practitioner - General Practice 5496038853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7893PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma Inc CurrentSince Nov 12, 2016 Accepting new patients
Cossma, Inc. CurrentSince Nov 12, 2016 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1396711180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391832",
            "telephone_number": "787-739-8295",
            "fax_number": "787-739-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE NO. 734, KM. 0.5",
            "address_2": "SALIDA HACIA CAYEY VIA BO. ARENAS",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391832",
            "telephone_number": "787-739-8295",
            "fax_number": "787-739-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS REYES",
        "first_name": "HECTOR",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.