Active NPI
Roberto Reyna, MD LLC
- Internal Medicine Physician
- Martinsburg, WV
National Provider Identifier
1619334075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ROBERTO REYNA, MD LLC
- Practice address
- 65 Health Care LN
Martinsburg, WV 25401-4006 - Phone
- (304) 263-6997
- Fax
- (304) 263-8827
- NPI assigned
- Jan 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto Reyna, M.D.
- Title
- Owner
- Phone
- (304) 263-6997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
65 Health Care LN
Martinsburg, WV 25401-4006
Mailing address
65 Health Care LN
Martinsburg, WV 25401-4006
Phone (304) 263-6997
Other names 1
- Roberto Reyna, MD PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452816000000",
"number": "1619334075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HEALTH CARE LN",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254014006",
"telephone_number": "304-263-6997",
"fax_number": "304-263-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 HEALTH CARE LN",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254014006",
"telephone_number": "304-263-6997",
"fax_number": "304-263-8827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO REYNA, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A",
"authorized_official_last_name": "REYNA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-263-6997",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Roberto Reyna, MD PLLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.