Healthcare Provider Details

I. General information

NPI: 1952872640
Provider Name (Legal Business Name): JOAQUIN REYES GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2018
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date: 03/28/2023
Reactivation Date: 04/06/2023

III. Provider practice location address

MSC09 5030 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

MSC09 5030 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-8244
  • Fax: 505-272-5821
Mailing address:
  • Phone: 505-272-8244
  • Fax: 505-272-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2025-1064
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: