Jorge Reyes Vicente, DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16593 Issued in FL

Practice address

1549 S Alafaya TRL
Suite #300
Orlando, FL 32828-8962

Phone

(407) 249-0818

Fax

(407) 249-0851

NPI assigned

Oct 12, 2006

Last updated

Apr 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1740379460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL",
            "address_2": "SUITE #300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-249-0818",
            "fax_number": "407-249-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL",
            "address_2": "SUITE #300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-249-0818",
            "fax_number": "407-249-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES VICENTE",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "DMD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16593",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH18736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Y Reyes Rosario, MD
• Alex Francisco Reyes Santos, MD
• Tatiana Marie Reyes Santos
• Jose Raul Reyes Sardina Jr
• Paola Marie Reyes Serrano, PHARMD
• Camil Reyes-Alami, MS, CCC-SLP
• Mary Reyes-Heiler
• Angie Ivelisse Reyes, BA
• Candys Reyes
• Christopher Reyes, DO

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.