Organization Active NPI

Ciro R Reyes MD P a

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1578516191
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME89828 Issued in FL
Legal business name
CIRO R REYES MD P A
Practice address
13055 SW 42ND St Ste 201
Miami, FL 33175-3410
Phone
(786) 334-5839
Fax
(786) 334-5843
NPI assigned
May 17, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Ciro R Reyes, MDNPI 1952441651
Title
President
Phone
(786) 334-5839

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
General Practice Physician 208D00000X ME89828 FL Primary

Addresses

Primary practice location

13055 SW 42ND St Ste 201
Miami, FL 33175-3410

Mailing address

13055 SW 42ND St Ste 201
Miami, FL 33175-3410
Phone (786) 334-5839

Other identifiers 1

IdentifierTypeStateIssuer
259630000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041023000128 FL Part B Supplier - Clinic/Group Practice 9436110392 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2109877Ciro R Reyes MD PA13055 SW 42ND St Ste 201, Miami, FL 33175Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

4630 NW 7th St
Miami, FL 33126
Phone (305) 569-9308

9600 SW 8th St
Ste 35
Miami, FL 33174
Phone (305) 223-2420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1578516191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753410",
            "telephone_number": "786-334-5839",
            "fax_number": "786-334-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753410",
            "telephone_number": "786-334-5839",
            "fax_number": "786-334-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRO R REYES MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CIRO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-334-5839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME89828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.