Organization Active NPI

Raul G. Reyes MD AMC

  • General Practice Physician
  • Kenner, LA
National Provider Identifier
1497075683
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
M.D.007810 Issued in LA
Legal business name
RAUL G. REYES MD AMC
Doing business as
LaClinica
Practice address
361 W Esplanade Ave
Kenner, LA 70065-2541
Phone
(504) 904-0961
Fax
(504) 904-0962
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Raul G. Reyes, M.D.
Title
Owner
Phone
(504) 904-0961

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X M.D.007810 LA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X M.D.007810 LA Primary

Addresses

Primary practice location

361 W Esplanade Ave
Kenner, LA 70065-2541

Mailing address

PO Box 15379
New Orleans, LA 70175-5379
Phone (504) 904-0961

Other names 1

  • LaClinica Doing business as

National Provider Directory

National Provider Directory

Locations

361 W Esplanade Ave
Kenner, LA 70065
Phone (504) 904-0961

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": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1497075683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15379",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701755379",
            "telephone_number": "504-904-0961",
            "fax_number": "504-904-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652541",
            "telephone_number": "504-904-0961",
            "fax_number": "504-904-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL G. REYES MD AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-904-0961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "M.D.007810",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "M.D.007810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaClinica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.