Active NPI
Florangel Evangelina Reynoso, RDH
- Dental Hygienist
- Bronx, NY
National Provider Identifier
1831691963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 029835-1
- Practice address
- 1065 Southern Blvd
Bronx, NY 10459-2417 - Phone
- (718) 589-2440
- Fax
- (718) 991-4516
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 029835-1 | NY | Primary |
Addresses
Primary practice location
1065 Southern Blvd
Bronx, NY 10459-2417
Mailing address
2415 Davidson Ave Apt C6
Bronx, NY 10468-6353
Phone (347) 928-9922
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 |
|---|---|---|---|
| 029835-1 | NY | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1831691963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 DAVIDSON AVE APT C6",
"city": "BRONX",
"state": "NY",
"postal_code": "104686353",
"telephone_number": "347-928-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104592417",
"telephone_number": "718-589-2440",
"fax_number": "718-991-4516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "FLORANGEL",
"middle_name": "EVANGELINA",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NY",
"license": "029835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.