Active NPI
Pedro Reyes Nieves, MD
- Diagnostic Radiology Physician
- San Juan, PR
National Provider Identifier
1407901994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9143
- Practice address
- Jose Marti #56 Floral Park
San Juan, PR 00917 - Phone
- (787) 759-7878
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9143 | PR | Primary |
Addresses
Primary practice location
Jose Marti #56 Floral Park
San Juan, PR 00917
Mailing address
PO Box 364443
San Juan, PR 00936-4443
Phone (787) 759-8989
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Puerto Rico School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1815 Carr
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-9069
CT Radiology Building 1815 Rd
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CT Radiology Complex, LLC | Diagnostic Radiology | Current | Accepting new patients |
| GRP Med CT Radiology Complex | Current | Accepting new patients | |
| Diagnostic Imaging Center, PSC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Bayamon, PR
- NPI 1558356493
-
dba CT Radiology Complex LLC
- Cardiovascular Disease Physician
- Bayamon, PR
- NPI 1609083377
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1356304505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407901994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 364443",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009364443",
"telephone_number": "787-759-8989",
"fax_number": "787-756-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JOSE MARTI #56 FLORAL PARK",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-759-7878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES NIEVES",
"first_name": "PEDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PR",
"license": "9143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.