MARIO ADRIAN REYES AGPCNP-C NPI 1477700722

NPI Information

NPI: 1477700722
Provider Name: MARIO ADRIAN REYES, AGPCNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1490 NW 27TH AVE
130
MIAMI, FL
ZIP 33125
Phone: (305) 635-7710
Get Directions

Mario Adrian Reyes, AGPCNP-C is a gerontology nurse practitioner in Miami, FL. Mario Adrian Reyes, AGPCNP-C NPI is 1477700722. 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:

1490 NW 27TH AVE
130
MIAMI, FL
ZIP 33125-157
Phone: (305) 635-7710
Fax: (305) 637-8122

The NPI 1477700722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 4/24/2015.

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
1	363LA2200X	Nurse Practitioner	Adult Health	ARNP9316143	FLORIDA	No
2	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	02-128	FLORIDA	No
3	363LG0600X	Nurse Practitioner	Gerontology	ARNP9316143	FLORIDA	Yes

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

NPI Synchronization or Removal

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