Primitivo I. Reynaldo, M.D., S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PRIMITIVO I. REYNALDO, M.D., S.C.

Practice address

10200 W Innovation Dr
Suite 700
Milwaukee, WI 53226-4825

Phone

(414) 302-9196

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Primitivo I Reynaldo, M.D.NPI 1891779005

Title

Authorized Official

Phone

(414) 302-9196

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Primitivo I Reynaldo, M.D.

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1891779005
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942257647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W INNOVATION DR",
            "address_2": "SUITE 700",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264825",
            "telephone_number": "414-302-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W INNOVATION DR",
            "address_2": "SUITE 700",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264825",
            "telephone_number": "414-302-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMITIVO I. REYNALDO, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "REYNALDO",
        "authorized_official_first_name": "PRIMITIVO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "414-302-9196",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Prifti, MD
• Veralyn Prillaman
• Primary Care of Milwaukee, S.C.
• Prime Express Laboratory LLC
• Prime Morgan Transport
• Primrose Residential Facility
• Haley Rose Primuth
• Latrice Lynette Prince
• Pamela Charlene Prince, N.P.
• Julie Principe

• Pain Medicine (Anesthesiology) Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pain Medicine (Anesthesiology) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.