Organization Active NPI

Ricardo Reyna III MD PLLC

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1508415837
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
RICARDO REYNA III MD PLLC
Practice address
100 E Schuster Ave
El Paso, TX 79902-3556
Phone
(915) 202-4913
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Dr. Ricardo Reyna III, MDNPI 1043494735
Title
Owner/Physician
Phone
(915) 202-4913

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 Primary

Addresses

Primary practice location

100 E Schuster Ave
El Paso, TX 79902-3556

Mailing address

9165 Turrentine Dr
El Paso, TX 79925-5942
Phone (915) 202-4913

National Provider Directory

National Provider Directory

Locations

100 E Schuster Ave
El Paso, TX 79902
Phone (915) 249-2055

Practitioners & affiliated clinicians

Practitioners 2

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": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1508415837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 TURRENTINE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255942",
            "telephone_number": "915-202-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SCHUSTER AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023556",
            "telephone_number": "915-202-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO REYNA III MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "915-202-4913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.