Healthcare Provider Details

I. General information

NPI: 1740013770
Provider Name (Legal Business Name): REYES RHEUMATOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7417 N CEDAR AVE # 102
FRESNO CA
93720-3637
US

IV. Provider business mailing address

1628 E SIERRA AVE
FRESNO CA
93710-4317
US

V. Phone/Fax

Practice location:
  • Phone: 559-999-5563
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: CANDICE REYES
Title or Position: PRESIDENT
Credential: MD
Phone: 559-999-5563