Organization Active NPI

Mary B. Reyes PH.D. PA

  • Skilled Nursing Facility
  • Miami, FL
National Provider Identifier
1881079531
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PY7474 Issued in FL
Legal business name
MARY B. REYES PH.D. PA
Practice address
724 NW 19TH St
Miami, FL 33136-1202
Phone
(305) 325-2300
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Ms. Noralis Franco
Title
Office Manager
Phone
(305) 919-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X PY7474 FL Primary

Addresses

Primary practice location

724 NW 19TH St
Miami, FL 33136-1202

Mailing address

9265 SW 63Rd St
Miami, FL 33173-2305
Phone (786) 596-6577

Other identifiers 1

IdentifierTypeStateIssuer
PY7474OtherMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1881079531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 SW 63RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732305",
            "telephone_number": "786-596-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW 19TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361202",
            "telephone_number": "305-325-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY B. REYES PH.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "FRANCO",
        "authorized_official_first_name": "NORALIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-919-8099",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PY7474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PY7474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.