Reyes, Andres M
Reyes, Andres M is an individual health care provider with primary practice located at 10050 Nw Innovation Way Suite 102, Port St Lucie FL 34987. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Reyes, Andres M can be contacted via phone (772) 286-1550.Contact Information
Primary practice address
10050 Nw Innovation Way Suite 102
Port St Lucie FL 34987
Phone: (772) 286-1550
Fax: (772) 221-0569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME100755 | Florida |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME100755 | Florida |
Profile Details
NPI number | 1205829074 |
---|---|
LBN Legal business name | Reyes, Andres M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2005 |
Last updated | Aug 23rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205829074 | NPPES |
Florida | Other | 147LT | FLORIDA BLUE |
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