Healthcare Provider Details

I. General information

NPI: 1629986781
Provider Name (Legal Business Name): REYES GARCIA NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2744 PROVINCETOWNE DR
TOLEDO OH
43613-1003
US

IV. Provider business mailing address

2744 PROVINCETOWNE DR
TOLEDO OH
43613-1003
US

V. Phone/Fax

Practice location:
  • Phone: 567-298-0258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number185858
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: