Individual provider Active NPI

Patricia Naemi Reynoso Galva, DDS

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1548958242
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30981 Issued in FL
Practice address
551 Linton Blvd Ste C2
Delray Beach, FL 33444-8141
Phone
(561) 529-9152
NPI assigned
May 1, 2023
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN30981 FL Primary

Addresses

Primary practice location

551 Linton Blvd Ste C2
Delray Beach, FL 33444-8141

Mailing address

501 NW 7TH Ave
Ft Lauderdale, FL 33311-9156
Phone (929) 385-7156

Other practice location 1

1200 W Yamato Rd Ste A4
Boca Raton, FL 33431-4428
Phone (561) 462-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN30981FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1548958242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NW 7TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333119156",
            "telephone_number": "929-385-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINTON BLVD STE C2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448141",
            "telephone_number": "561-529-9152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Yamato Rd Ste A4",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334314428",
            "country_code": "US",
            "telephone_number": "561-462-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO GALVA",
        "first_name": "PATRICIA",
        "middle_name": "NAEMI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.