Individual provider Active NPI

Reynaldo Javier Molina, MD

  • Nephrology Physician
  • Hialeah, FL
National Provider Identifier
1912916610
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME48240 Issued in FL
Practice address
7100 W 20 Ave
#602
Hialeah, FL 33016
Phone
(305) 557-8300
Fax
(305) 557-1410
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME48240 FL Primary

Addresses

Primary practice location

7100 W 20 Ave
#602
Hialeah, FL 33016

Mailing address

7100 W 20 Ave
#602
Hialeah, FL 33016
Phone (305) 557-8300

Other identifiers 1

IdentifierTypeStateIssuer
045633100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000775 FL Practitioner - NephrologyPractitioner - Internal Medicine 7315074275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julio Fernandez-Bombino and Reynaldo MolinaGroup PAC ID 4981647138, 2 clinicians

Practice addresses (Care Compare)

7100 W 20TH Ave
Suite 602
Hialeah, FL 33016-1824
Phone (305) 557-8300

Hospital & facility affiliations

  • DaVita Miami Lakes Artificial Kidney Center Dialysis facility, Miami Lakes, FL, CCN 102648
  • Palmetto General Hospital Hospital, Hialeah, FL, CCN 100187
  • Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Julio Fernandez-Bombino & Reynaldo Molina Nephrology CurrentSince Feb 3, 2010 Accepting new patients

Locations

7100 W 20th Ave
Ste 602
Hialeah, FL 33016
Phone (305) 557-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1912916610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 20 AVE",
            "address_2": "#602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-557-8300",
            "fax_number": "305-557-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20 AVE",
            "address_2": "#602",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-557-8300",
            "fax_number": "305-557-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "REYNALDO",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME48240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045633100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.