MEDICARE: ANDRES M 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
1	207RN0300X	Nephrology Physician	ME100755	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1205829074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES M REYES MD

Provider Business Mailing Address
First Line	:	661 E ALTAMONTE DR STE 213
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5102
Country	:	US
Telephone Number	:	407-951-5883
Fax Number	:	407-951-8326

Provider Business Practice Location Address
First Line	:	661 E ALTAMONTE DR STE 213
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-5102
Country	:	US
Telephone Number	:	407-951-5883
Fax Number	:	407-951-8326

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	09/18/2024

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Directions to “ ANDRES M REYES MD” Practice Location

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