Active NPI
Brenda Y. Urbina Reyes, M.D.
- Infectious Disease Physician
- San Juan, PR
National Provider Identifier
1710979471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 16746
- Practice address
- VA Medical Center, Dept. of Medicine, 3Rd Floor
10 Calle Casia
San Juan, PR 00921-3201 - Phone
- (787) 641-3669
- Fax
- (787) 641-4561
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 041330 | CT | |
| Infectious Disease Physician | 207RI0200X | 16746 | PR | Primary |
Addresses
Primary practice location
VA Medical Center, Dept. of Medicine, 3Rd Floor
10 Calle Casia
San Juan, PR 00921-3201
Mailing address
VA Medical Center, Department of Medicine, 3Rd Floor
10 Calle Casia
San Juan, PR 00921-3201
Phone (787) 641-3669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001413301 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041330 | CT | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Medical Group, PC | Infectious Disease | 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": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1710979471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER, DEPARTMENT OF MEDICINE, 3RD FLOOR",
"address_2": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-3669",
"fax_number": "787-641-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MEDICAL CENTER, DEPT. OF MEDICINE, 3RD FLOOR",
"address_2": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213201",
"telephone_number": "787-641-3669",
"fax_number": "787-641-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBINA REYES",
"first_name": "BRENDA",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CT",
"license": "041330",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PR",
"license": "16746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001413301",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.