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NPI Code Detail

MEDICARE: DR. JORGE REYES CABALLERO M.D.

MEDICARE: DR. JORGE REYES CABALLERO M.D.
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
1207L00000XAnesthesiology Physician00017489AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2051086323OTHERALBCBS PROV NO.

General Provider Information

NPI Number : 1275505174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE REYES CABALLERO M.D.
Provider Business Mailing Address
First Line : 230 E 10TH ST
Second Line : SUITE 115
City : ANNISTON
State : AL
Zip : 36207-5784
Country : US
Telephone Number : 256-238-8386
Fax Number : 256-238-1480
Provider Business Practice Location Address
First Line : 400 E 10TH ST
Second Line :
City : ANNISTON
State : AL
Zip : 36207-4716
Country : US
Telephone Number : 256-235-5278
Fax Number : 256-238-1480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 11/12/2012

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Directions to “ DR. JORGE REYES CABALLERO M.D.” Practice Location

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