Antonio J Reyes, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0065030 Issued in FL

Practice address

1350 SW 57TH Ave
Suite 314
West Miami, FL 33144-5775

Phone

(305) 267-2182

Fax

(305) 267-1244

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1952321978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-267-2182",
            "fax_number": "305-267-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 314",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-267-2182",
            "fax_number": "305-267-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ANTONIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0065030",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0065030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "650766743",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aylin Rabi
• Radiology Mobil Center, Inc
• Real Rehabilitation Services Inc
• Red Road Center of South Florida Inc
• Red Road Center of South Florida Inc
• Claudia Andrea Reyes, LMT
• Sofia Isabel Ricardo, PSYD
• Rima Medical Center Inc
• Juan Joseph Rivera
• Samantha Rivera

• Pediatrics Physician in West Miami, FL
• Providers in West Miami, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.