Individual provider Active NPI

Jose Maria Reyesmartinez, P.A.

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1558570853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9100871 Issued in FL
Practice address
8085 NW 8TH St Apt 9
Miami, FL 33126-2836
Phone
(786) 712-4499
Fax
(786) 845-9398
NPI assigned
May 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9100871 FL Primary

Addresses

Primary practice location

8085 NW 8TH St Apt 9
Miami, FL 33126-2836

Mailing address

8085 NW 8TH St Apt 9
Miami, FL 33126-2836
Phone (786) 712-4499

Other identifiers 1

IdentifierTypeStateIssuer
PA9100871OtherFLPHYSICIAN ASSISTANT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080425000525 FL Practitioner - Physician Assistant 8921186230 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Subspecialists of South Florida LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558570853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 NW 8TH ST APT 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262836",
            "telephone_number": "786-712-4499",
            "fax_number": "786-845-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 NW 8TH ST APT 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262836",
            "telephone_number": "786-712-4499",
            "fax_number": "786-845-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYESMARTINEZ",
        "first_name": "JOSE",
        "middle_name": "MARIA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9100871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.