Organization Active NPI

Cynthia M. de Los Reyes, MD, PLLC

  • Pediatrics Physician
  • Kennewick, WA
National Provider Identifier
1467752659
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
602094837 Issued in WA
Legal business name
CYNTHIA M. DE LOS REYES, MD, PLLC
Practice address
923 South Auburn St
Kennewick, WA 99336
Phone
(509) 582-3571
Fax
(509) 586-4383
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Cynthia Marcelo De Los Reyes, M.D.NPI 1538276050
Title
Manager
Phone
(509) 582-3571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 602094837 WA Primary

Addresses

Primary practice location

923 South Auburn St
Kennewick, WA 99336

Mailing address

923 South Auburn St
Kennewick, WA 99336
Phone (509) 582-3571

National Provider Directory

National Provider Directory

Locations

923 S Auburn St
Kennewick, WA 99336
Phone (509) 582-3571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1467752659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 SOUTH AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-582-3571",
            "fax_number": "509-586-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 SOUTH AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-582-3571",
            "fax_number": "509-586-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA M. DE LOS REYES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARCELO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-582-3571",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "602094837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.