NPIMap

Organization Active NPI

Reyna Health Trust Inc

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1629352976
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
REYNA HEALTH TRUST INC
Practice address
18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207
Phone
(305) 749-6203
Fax
(786) 520-3173
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Javier Reyna, MDNPI 1780991547
Title
President
Phone
(305) 749-6203

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207

Mailing address

18300 NW 62ND Ave Ste 100
Hialeah, FL 33015-8207
Phone (305) 749-6203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120126000061 FL Part B Supplier - Clinic/Group Practice 5395912778 Receives reassigned benefits from 7 practitioners
Practice locations: Miami Lakes, FL; Hialeah, FL; Miami Gardens, FL; Miami, FL; Coral Gables, FL

National Provider Directory

National Provider Directory
Tax ID family
Reyna Health Trust Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18300 NW 62nd Ave
Ste 100
Miami Gardens, FL 33015
Phone (305) 749-6203

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629352976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158207",
            "telephone_number": "305-749-6203",
            "fax_number": "786-520-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE STE 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158207",
            "telephone_number": "305-749-6203",
            "fax_number": "786-520-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA HEALTH TRUST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-749-6203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.