Active NPI
Mary B. Reyes PH.D. PA
- Skilled Nursing Facility
- Miami, FL
National Provider Identifier
1881079531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- PY7474
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PY7474 | Other | MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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.