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NPI Code Detail

MEDICARE: JOSEPHINE SALUBRE DELOS REYES MD

MEDICARE: JOSEPHINE SALUBRE DELOS REYES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME171694FL
2363LF0000XFamily Nurse PractitionerAPRN11009656FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144815408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE SALUBRE DELOS REYES MD
Provider Business Mailing Address
First Line : 4625 SUN N LAKE BLVD STE 105
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-314-4466
Fax Number : 863-386-0118
Provider Business Practice Location Address
First Line : 4638 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2176
Country : US
Telephone Number : 863-386-0055
Fax Number : 863-386-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2021
Last Update Date : 08/06/2025

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