MEDICARE: DR. DAVID G. REYES M.D, FAAFP

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	207Q00000X	Family Medicine Physician	CI-00005394	DE

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	:	1962400390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID G. REYES M.D, FAAFP

Provider Business Mailing Address
First Line	:	18947 JOHN J WILLIAMS HWY
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-4474
Country	:	US
Telephone Number	:	302-644-0690
Fax Number	:	302-644-0695

Provider Business Practice Location Address
First Line	:	18947 JOHN J WILLIAMS HWY
Second Line	:
City	:	REHOBOTH BEACH
State	:	DE
Zip	:	19971-4474
Country	:	US
Telephone Number	:	302-644-0690
Fax Number	:	302-644-0695

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

Provider Enumeration Date	:	07/10/2005
Last Update Date	:	02/27/2017

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