| C/o Lavinia Reyes Md | |
|
11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 | |
| (919) 435-6111 | |
| (919) 435-6113 |
| Full Name | C/o Lavinia Reyes Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 11081 Forest Pines Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Lavinia T Reyes (OWNER/PRESIDENT) |
| Authorized Official Contact | 9195565063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C/o Lavinia Reyes Md 12200 Pawleys Mill Cir Raleigh NC 27614-7976 Ph: (919) 556-5063 | C/o Lavinia Reyes Md 11081 Forest Pines Dr Suite 124 Raleigh NC 27614-7655 Ph: (919) 435-6111 |
| NPI Number | 1023413580 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 8224352026 |
|---|---|
| Medicare Enrollment ID | O20150127002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023413580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lavinia Te Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467498840 PECOS PAC ID: 9133142698 Enrollment ID: I20060110001183 |
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