Isabel Cordoba Reyes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME056195 Issued in FL

Practice address

16555 NW 25TH Ave
Opa Locka, FL 33054-6583

Phone

(786) 466-1718

Fax

(305) 626-4854

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629005624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 DUNDEE TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161402",
            "telephone_number": "786-466-1718",
            "fax_number": "305-626-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16555 NW 25TH AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330546583",
            "telephone_number": "786-466-1718",
            "fax_number": "305-626-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ISABEL",
        "middle_name": "CORDOBA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME056195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266702",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yalit M Raymond Kassab
• Redondo Pharmacy
• Remed Medical & Rehab Center Inc
• Research and Service Foundation Inc (Miami Dade Urgent Care)
• Restaurante Universal del Pueblo
• Yanexi Ricardo
• Migseidy Rico Amador
• Daniela Rios Roque
• Daniel David Rivera Macias
• Ulises Lazaro Rodriguez Avila, MD

• Pediatrics Physician in Opa Locka, FL
• Providers in Opa Locka, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.