Active NPI
Sofia Jimena Reyes
- Dentist
- Laredo, TX
National Provider Identifier
1750089306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39799
- Practice address
- 2310 E Saunders St Ste 3
Laredo, TX 78041-5489 - Phone
- (956) 568-0729
- NPI assigned
- Feb 22, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39799 | TX | Primary |
Addresses
Primary practice location
2310 E Saunders St Ste 3
Laredo, TX 78041-5489
Mailing address
2310 E Saunders St Ste 3
Laredo, TX 78041-5489
Phone (956) 568-0729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750089306 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39799 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1750089306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 E SAUNDERS ST STE 3",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415489",
"telephone_number": "956-568-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 E SAUNDERS ST STE 3",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415489",
"telephone_number": "956-568-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "SOFIA",
"middle_name": "JIMENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-22",
"last_updated": "2024-03-18",
"certification_date": "2023-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750089306",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.