Provider Type Icon

LEOVIGILDO REYES MD PA NPI 1184307456


NPI Information

NPI: 1184307456
Provider Name: LEOVIGILDO REYES MD PA

Doing Business As: PORT ST. LUCIE PAIN & MEDICAL INSTITUE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 10D2131659

Address:
4401 N ANDREWS AVE
OAKLAND PARK, FL
ZIP 33309
Phone: (954) 900-4686
Get Directions

LEOVIGILDO REYES MD PA is an interventional pain medicine pain medicine in Oakland Park, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. LEOVIGILDO REYES MD PA NPI is 1184307456. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Port St. Lucie Pain & Medical Institue.

The provider's business location address is:

4401 N ANDREWS AVE
OAKLAND PARK, FL
ZIP 33309-917
Phone: (954) 900-4686
Fax: (954) 900-2655

The provider's authorized official is Ricardo J. Simmons .
The authorized official title is Manager and has the following contact phone number (954) 900-4686.

The CLIA number assigned to this NPI record is 10D2131659 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2023 and was last updated on 3/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.