Active NPI
Jesus Manuel Caez Reyes
- Student in an Organized Health Care Education/Training Program
- Davie, FL
National Provider Identifier
1801763537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3301 College Ave
Davie, FL 33314-7721 - Phone
- (800) 338-4678
- NPI assigned
- Oct 17, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3301 College Ave
Davie, FL 33314-7721
Mailing address
4701 SW 73Rd Avenue
Apt 10
Davie, FL 33314
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": "1760659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1801763537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SW 73RD AVENUE",
"address_2": "APT 10",
"city": "DAVIE",
"state": "FL",
"postal_code": "33314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333147721",
"telephone_number": "800-338-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAEZ REYES",
"first_name": "JESUS",
"middle_name": "MANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.