Active NPI
Sylvia M Reynoso, AGNP-C
- Gerontology Nurse Practitioner
- Harlingen, TX
National Provider Identifier
1417664442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1096579
- Practice address
- 629 Kamali Dr
Harlingen, TX 78550-0016 - Phone
- (956) 425-7800
- Fax
- (956) 425-7801
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1096579 | TX | Primary |
Addresses
Primary practice location
629 Kamali Dr
Harlingen, TX 78550-0016
Mailing address
629 Kamali Dr
Harlingen, TX 78550-0016
Phone (956) 425-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1096579 | Other | TX | TEXAS STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | EOI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096579 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Luis Reynoso PA | Current | Accepting new patients |
Locations
2401 N Ed Carey Dr
Ste C
Harlingen, TX 78550
Phone (956) 425-7800
629 Kamali Dr
Harlingen, TX 78550
Phone (956) 425-7800
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Harlingen, TX
- NPI 1689813693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1417664442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 KAMALI DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785500016",
"telephone_number": "956-425-7800",
"fax_number": "956-425-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 KAMALI DR",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785500016",
"telephone_number": "956-425-7800",
"fax_number": "956-425-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "SYLVIA",
"middle_name": "M",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1096579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE LICENSE",
"identifier": "1096579",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "EOI",
"affiliation": "N",
"endpointDescription": "eclinicalworks",
"address_1": "629 Kamali Dr",
"city": "Harlingen",
"state": "TX",
"country_code": "US",
"postal_code": "785500016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.