Individual provider Active NPI

Joaly Santana Reyes, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1497995948
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17487 Issued in PR
Practice address
Calle Rio Guavate Ad-22 Rio Hondo II
Bayamon, PR 00961
Phone
(787) 795-4063
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17487 PR Primary

Addresses

Primary practice location

Calle Rio Guavate Ad-22 Rio Hondo II
Bayamon, PR 00961

Mailing address

Calle Rio Guavate Ad-22 Rio Hondo II
Bayamon, PR 00961
Phone (787) 795-4063

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
I20180824002577 PR Practitioner - General Practice 3375892201 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR; Hato Rey, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Specialized Care LLCGroup PAC ID 6507122967, 19 clinicians

Practice addresses (Care Compare)

Avenida Juan Ponce de Leon Parada
37 Hospital Auxilio Mutuo
Hato Rey, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17487PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ER Specialized Care LLC CurrentSince Sep 30, 2019 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince May 27, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 27, 2018 Accepting new patients

Locations

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1497995948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE RIO GUAVATE AD-22 RIO HONDO II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-795-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RIO GUAVATE AD-22 RIO HONDO II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-795-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA REYES",
        "first_name": "JOALY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.