Individual provider Active NPI

Reinaldo Carmona Galvez, NP-C

  • Family Nurse Practitioner
  • Pinellas Park, FL
National Provider Identifier
1982448270
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033555 Issued in FL
Practice address
7746 62ND St N Apt B
Pinellas Park, FL 33781-3243
Phone
(727) 348-9091
NPI assigned
Jun 21, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033555 FL Primary

Addresses

Primary practice location

7746 62ND St N Apt B
Pinellas Park, FL 33781-3243

Mailing address

7746 62ND St N Apt B
Pinellas Park, FL 33781-3243
Phone (727) 348-9091

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815004272 FL Practitioner - Nurse Practitioner 5890233266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11033555FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LBH Med Group LLC PastSince Aug 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1982448270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 62ND ST N APT B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813243",
            "telephone_number": "727-348-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 62ND ST N APT B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813243",
            "telephone_number": "727-348-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA GALVEZ",
        "first_name": "REINALDO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.