| Reyes Medical Center | |
|
6367 Trails Of Foxford Ct West Palm Beach FL 33415-5133 | |
| (561) 541-0326 | |
| Not Available |
| Full Name | Reyes Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6367 Trails Of Foxford Ct, West Palm Beach, Florida |
| Authorized Official Name and Position | Carlos Reyes Chouza (APRN) |
| Authorized Official Contact | 5615410326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reyes Medical Center 6367 Trails Of Foxford Ct West Palm Beach FL 33415-5133 Ph: (561) 541-0326 | Reyes Medical Center 6367 Trails Of Foxford Ct West Palm Beach FL 33415-5133 Ph: (561) 541-0326 |
| NPI Number | 1518543776 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/28/2022 |
| Certification Date | 03/28/2022 |
| Medicare PECOS PAC ID | 5698175438 |
|---|---|
| Medicare Enrollment ID | O20210615002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518543776 | NPI | - | NPPES |
| 1174092035 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Carlos Reyes Chouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174092035 PECOS PAC ID: 0840521738 Enrollment ID: I20191007003576 |
| Provider Name | Roberto Ernesto Tamayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429326 PECOS PAC ID: 5294119103 Enrollment ID: I20220825004326 |
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