Individual provider Active NPI

Tamari Reyes-Hernandez, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1649205709
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9591 Issued in PR
Practice address
921 Calle Torrecillas
Alturas de Mayaguez
Mayaguez, PR 00682-6223
Phone
(787) 429-1532
Fax
(787) 805-0177
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9591 PR Primary

Addresses

Primary practice location

921 Calle Torrecillas
Alturas de Mayaguez
Mayaguez, PR 00682-6223

Mailing address

921 Calle Torrecillas
Alturas de Mayaguez
Mayaguez, PR 00682-6223
Phone (787) 429-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000857 PR Practitioner - General Practice 2062487838 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9591PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649205709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CALLE TORRECILLAS",
            "address_2": "ALTURAS DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826223",
            "telephone_number": "787-429-1532",
            "fax_number": "787-805-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CALLE TORRECILLAS",
            "address_2": "ALTURAS DE MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826223",
            "telephone_number": "787-429-1532",
            "fax_number": "787-805-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-HERNANDEZ",
        "first_name": "TAMARI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.