Jose Manuel Reyes Zetina, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP53542 Issued in MD

Practice address

217 South Smallwood St
Cumberland, MD 21502

Phone

(240) 293-2650

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1548934888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S SMALLWOOD ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH SMALLWOOD ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "21502",
            "telephone_number": "240-293-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES ZETINA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP53542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen T Regan, MD
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• Rehab1St Inc
• Rehab1St of Michigan LLC
• Anna Marie Reineke, NP
• Francisco Reyes, M.D.
• Jeffery Kyle Rhodes, DDS
• Lisa Ann Rhodes, MPT
• Riaz a. Janjua, M.D.
• Ashley Nicole Rice, D.P.T.

• Licensed Practical Nurse in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.