Active NPI
Edgard K Reyes Cartagena
- Family Nurse Practitioner
- Caguas, PR
National Provider Identifier
1811657083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4000
- Practice address
- Urb Bairoa Ar11 Calle 29
Caguas, PR 00725 - Phone
- (787) 696-0279
- NPI assigned
- Dec 29, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4000 | PR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Urb Bairoa Ar11 Calle 29
Caguas, PR 00725
Mailing address
Urb Bairoa Ar11 Calle 29
Caguas, PR 00725
Phone (787) 696-0279
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 |
|---|---|---|---|
| 4000 | PR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1811657083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB BAIROA AR11 CALLE 29",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-696-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB BAIROA AR11 CALLE 29",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-696-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES CARTAGENA",
"first_name": "EDGARD",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-29",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PR",
"license": "4000",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.