Individual provider Active NPI

Ciro R Reyes, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1952441651
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME89828 Issued in FL
Practice address
13055 SW 42ND St Ste 201
Miami, FL 33175-3410
Phone
(786) 334-5839
Fax
(786) 334-5843
NPI assigned
Feb 8, 2007
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME89828 FL Primary

Addresses

Primary practice location

13055 SW 42ND St Ste 201
Miami, FL 33175-3410

Mailing address

13055 SW 42ND St Ste 201
Miami, FL 33175-3410
Phone (786) 334-5839

Other identifiers 1

IdentifierTypeStateIssuer
259630000MedicaidFL

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
I20041023000151 FL Practitioner - General Practice 0143281006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13055 SW 42 St
Suite 201
Miami, FL 33175-3410
Phone (786) 334-5839

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME89828FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ciro R Reyes MD P a General Practice CurrentSince Jun 7, 2004 Accepting new patients
Med Life Medical Services Inc Past Accepting new patients

Locations

4114 W 12th Ave
Hialeah, FL 33012
Phone (305) 824-8663

10542 SW 8th St
Miami, FL 33174
Phone (305) 551-8329

13055 SW 42nd St
Ste 201
Miami, FL 33175
Phone (305) 559-7996

9100 SW 24th St
Ste 8
Miami, FL 33165
Phone (305) 220-2875

9600 SW 8th St
Ste 35
Miami, FL 33174
Phone (305) 223-2420

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1952441651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753410",
            "telephone_number": "786-334-5839",
            "fax_number": "786-334-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753410",
            "telephone_number": "786-334-5839",
            "fax_number": "786-334-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CIRO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME89828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259630000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.