Individual provider Active NPI

Jesus M Reyes Pereyra, M.D.

  • Diagnostic Radiology Physician
  • Caguas, PR
National Provider Identifier
1992184329
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22996 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 653-3108
NPI assigned
May 18, 2015
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME151862 FL
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 22996 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

PO Box 4980
Caguas, PR 00726-4980
Phone (787) 653-3108

Other names 1

  • Jesus M Reyes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210816002025 FL Practitioner - Diagnostic Radiology 7012201791 Reassigns benefits to 5 organizations
I20221014001282 PR Practitioner - Diagnostic Radiology 7012201791 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jun 27, 2022 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 14, 2022 Accepting new patients
Salud Integral En la Montana, Inc Diagnostic Radiology CurrentSince Dec 9, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 2, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 28, 2022 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Dec 9, 2022 Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Fajardo Integrated Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Dla Imaging LLC Diagnostic Radiology CurrentSince Mar 4, 2024 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 14, 2022 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Apr 13, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 28, 2022 Accepting new patients
Zenith Health Group LLC Past Accepting new patients

Locations

12900 Cortez Blvd
Ste 101
Brooksville, FL 34613
Phone (352) 596-1101

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 844-4200

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1992184329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-653-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES PEREYRA",
        "first_name": "JESUS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME151862",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "22996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "REYES",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.