Angie Ivelisse Reyes, BA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

595 W Church St Apt 821
Orlando, FL 32805-2299

Phone

(407) 683-0510

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1912620253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W CHURCH ST APT 821",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052299",
            "telephone_number": "407-683-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W CHURCH ST APT 821",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328052299",
            "telephone_number": "407-683-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANGIE",
        "middle_name": "IVELISSE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Raul Reyes Sardina Jr
• Paola Marie Reyes Serrano, PHARMD
• Jorge Reyes Vicente, DMD PA
• Camil Reyes-Alami, MS, CCC-SLP
• Mary Reyes-Heiler
• Candys Reyes
• Christopher Reyes, DO
• Dailee Reyes, RBT
• Evelyn Reyes, PA-C
• Gabrielle Reyes

• Developmental Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.