Individual provider Active NPI

Edwin Jomar Torres Reyes, MD

  • Pediatric Gastroenterology Physician
  • Arecibo, PR
National Provider Identifier
1427579606
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
21426 Issued in PR
Practice address
Hospital Pavia Arecibo
Carretera 129 KM 1.0 Av San Luis
Arecibo, PR 00613
Phone
(787) 650-7272
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 21426 PR Primary

Addresses

Primary practice location

Hospital Pavia Arecibo
Carretera 129 KM 1.0 Av San Luis
Arecibo, PR 00613

Mailing address

557 Oceania Apartments
Arecibo, PR 00612-5170
Phone (787) 306-2686

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
I20230901002365 PR Practitioner - GastroenterologyPractitioner - Pediatric Medicine 6103289780 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21426PRMDPediatric Gastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: edwin_torres_reyes@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1427579606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 OCEANIA APARTMENTS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125170",
            "telephone_number": "787-306-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL PAVIA ARECIBO",
            "address_2": "CARRETERA 129 KM 1.0 AV SAN LUIS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES REYES",
        "first_name": "EDWIN",
        "middle_name": "JOMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "PR",
            "license": "21426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.