Dr Reynaldo Lee-Llacer II PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR REYNALDO LEE-LLACER II PC

Doing business as

Columbia Direct Primary Care

Practice address

8600 Snowden River Pkwy Ste 307
Columbia, MD 21045-1986

Phone

(410) 290-0255

Fax

(410) 862-2775

NPI assigned

Mar 31, 2025

Organization subpart

No

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

Authorized official

Name

Reynaldo Lee-Llacer II, MDNPI 1477566875

Title

Owner

Phone

(410) 290-0255

Specialties & licenses 1

Addresses

Other names 1

• Columbia Direct Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Reynaldo Labitag Lee-Llacer II, M.D.

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1477566875
  Medicare reassignment NPD Authorized official
• Carol Rendon Baltazar, M.D.

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1740400092
  NPD (past)

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1699578989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0255",
            "fax_number": "410-862-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451986",
            "telephone_number": "410-290-0255",
            "fax_number": "410-862-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REYNALDO LEE-LLACER II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "LEE-LLACER",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-290-0255",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.