Vanessa Camino Reyes, MD
Individual provider Active NPI Pediatrics Physician · Celebration, FL
NPI 1982035804 · NPPES record last updated Apr 21, 2016
Key facts
- NPI
- 1982035804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME127772 (FL)
- Practice address
- 1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164 - Phone
- (407) 566-9700
- Fax
- (407) 674-2254
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME127772 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebration Pediatrics PA | Pediatrics | Past | Accepting new patients |
| Heraud Pediatrics LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME127772 | FL | Yes |
Addresses
Primary practice location
1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164
Mailing address
1530 Celebration Blvd
Suite 301
Celebration, FL 34747-5164
Phone (407) 566-9700
Other providers in Celebration, FL
- Wade M Burkard
- David Burns
- Catherine Burnside
- Jessica Burr
- Lennie Calderon
- Peter James Vergara Campomanes
- Sarah Cancel
- Justin Candelora
- Gloria Marina Cardenas
- Marc Bryan Carmody
All providers in Celebration, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.