Reyes, Gerardo

Reyes, Gerardo is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31403-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Reyes, Gerardo can be contacted via phone (912) 350-8016.

Contact Information

Primary practice address
4700 Waters Ave Savannah GA 31403-3089
Phone: (912) 350-8016
Fax: (912) 350-7221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X H3835 Texas
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2014-02124 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD2023-1175 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME123613 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 059179 Georgia

Profile Details

NPI number 1194767954
LBN Legal business name Reyes, Gerardo
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 13th, 2024 - about 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194767954 NPPES
South Carolina MEDICAID G59179
South Carolina MEDICAID 315942089A
South Carolina MEDICAID 036-091219

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