Organization Active NPI

Edgardo R. Reyes-Ayala, M.D. P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Coral Gables, FL
National Provider Identifier
1649365883
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME74498 Issued in FL
Legal business name
EDGARDO R. REYES-AYALA, M.D. P.A.
Practice address
5000 University Dr Ste 1100
Coral Gables, FL 33146-2008
Phone
(305) 663-0088
Fax
(305) 663-1933
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Dr. Edgardo R Reyes-Ayala, M.D.
Title
Physician
Phone
(305) 663-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X ME74498 FL Primary

Addresses

Primary practice location

5000 University Dr Ste 1100
Coral Gables, FL 33146-2008

Mailing address

5000 University Dr Ste 1100
Coral Gables, FL 33146-2008
Phone (305) 663-0088

Other identifiers 1

IdentifierTypeStateIssuer
254669800MedicaidFL

National Provider Directory

National Provider Directory

Locations

1150 Campo Sano Ave
Ste 420
Miami, FL 33146
Phone (305) 663-0088

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1649365883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR STE 1100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-663-0088",
            "fax_number": "305-663-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR STE 1100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-663-0088",
            "fax_number": "305-663-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGARDO R. REYES-AYALA, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "REYES-AYALA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-663-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME74498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254669800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.