Lisa N Reyna, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02060 Issued in TX

Practice address

911 Castroville Rd
San Antonio, TX 78237-3146

Phone

(210) 436-7402

Fax

(210) 436-7398

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1841517034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 CASTROVILLE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373146",
            "telephone_number": "210-436-7402",
            "fax_number": "210-436-7398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 NW Loop 410 Ste 210",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782165520",
            "country_code": "US",
            "telephone_number": "210-384-8282",
            "fax_number": "210-384-8629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N San Saba",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073154",
            "country_code": "US",
            "telephone_number": "210-704-4300",
            "fax_number": "210-704-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N San Saba",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073154",
            "country_code": "US",
            "telephone_number": "210-704-4300",
            "fax_number": "210-704-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "LISA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA02060",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Yvette Reyna, BCBA
• George S Reyna, MD
• Juan A Reyna, MD
• Justin Reyna, DC
• Leticia Alejandra Reyna
• Marcus Henry Reyna
• Nicolle Lea Reyna, SLP
• Richard S. Reyna, M.D.
• Rocio Reyna, APRN, FNP-C
• Rosura Reyna, LVN

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.