Organization Active NPI

Roberto Reyna, MD LLC

  • Internal Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1619334075
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Jan 15, 2016

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.