| Edgardo R. Reyes-ayala, M.d. P.a. | |
|
5000 University Dr Ste 1100 Coral Gables FL 33146-2008 | |
| (305) 663-0088 | |
| (305) 663-1933 |
| Full Name | Edgardo R. Reyes-ayala, M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5000 University Dr Ste 1100, Coral Gables, Florida |
| Authorized Official Name and Position | Edgardo R Reyes-ayala (PHYSICIAN) |
| Authorized Official Contact | 3056630088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgardo R. Reyes-ayala, M.d. P.a. 5000 University Dr Ste 1100 Coral Gables FL 33146-2008 Ph: (305) 663-0088 | Edgardo R. Reyes-ayala, M.d. P.a. 5000 University Dr Ste 1100 Coral Gables FL 33146-2008 Ph: (305) 663-0088 |
| NPI Number | 1649365883 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 2961554696 |
|---|---|
| Medicare Enrollment ID | O20090710000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649365883 | NPI | - | NPPES |
| 254669800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME74498 (Florida) | Primary |
| Provider Name | Edgardo R Reyes Ayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639127525 PECOS PAC ID: 9133154883 Enrollment ID: I20050930000348 |
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