Active NPI
Omar Reyes
- Clinic/Center
- Coral Gables, FL
National Provider Identifier
1710279112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Practice address
- 717 Ponce de Leon Blvd
202
Coral Gables, FL 33134-2070 - Phone
- (305) 967-8321
- Fax
- (305) 967-8714
- NPI assigned
- May 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
717 Ponce de Leon Blvd
202
Coral Gables, FL 33134-2070
Mailing address
717 Ponce de Leon Blvd
202
Coral Gables, FL 33134-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1710279112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 PONCE DE LEON BLVD",
"address_2": "202",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 PONCE DE LEON BLVD",
"address_2": "202",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342070",
"telephone_number": "305-967-8321",
"fax_number": "305-967-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "OMAR",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.