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DR. TEODORO REYES MARIANO M.D. NPI 1477577583


NPI Information

NPI: 1477577583
Provider Name: DR. TEODORO REYES MARIANO, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: BROCKPORT INTERNAL MEDICINE, PC

PECOS Registration: Yes

Address:
21 UNION HILL DR
SPENCERPORT, NY
ZIP 14559
Phone: (585) 352-4411
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DR. Teodoro Reyes Mariano, M.D. is an internal medicine in Spencerport, NY with 54 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Teodoro Reyes Mariano, M.D. NPI is 1477577583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21 UNION HILL DR
SPENCERPORT, NY
ZIP 14559-965
Phone: (585) 352-4411

The NPI 1477577583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease129789NEW YORKNo
2207R00000XInternal Medicine129789NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P010129789OTHERNEW YORKBLUE CHOICE PROVIDER NO.
2444111502OTHERNEW YORKUNITED HEALTHCARE PPO
35339337OTHERNEW YORKAETNA PPO
4224911OTHERNEW YORKNYS WORKERS COMP
50524OTHERNEW YORKBLUE CROSS BLUE SHIELD
600487921MEDICAIDNEW YORK
72564331OTHERNEW YORKAETNA HMO
8MD1826OTHERNEW YORKPREFERRED CARE PROVIDER
9100768BJOTHERNEW YORKPREFERRED CARE PROVIDER
1080121911498001OTHERNEW YORKBCBS OF WESTERN NY
11MD2826OTHERNEW YORKPREFERRED CARE CARDIOLOGY

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: 11/14/2023

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.