Reynaldo Matute M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

27909 Issued in SC

Legal business name

REYNALDO MATUTE M.D.

Practice address

5046 Hwy 17 Bypass
Suite 206
Myrtle Beach, SC 29588

Phone

(843) 293-2700

Fax

(843) 293-4960

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Reynaldo Matute, M.D.

Title

Physician

Phone

(843) 293-2700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669573119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 JENN DR STE 104",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775714",
            "telephone_number": "843-839-9202",
            "fax_number": "843-467-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5046 HWY 17 BYPASS",
            "address_2": "SUITE 206",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-293-2700",
            "fax_number": "843-293-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO MATUTE M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATUTE",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-293-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "27909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.