| Jose K Reyes Md Inc | |
|
1625 Tully Rd Ste A San Jose CA 95122-2541 | |
| (408) 929-0606 | |
| (408) 350-7319 |
| Full Name | Jose K Reyes Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1625 Tully Rd Ste A, San Jose, California |
| Authorized Official Name and Position | Jose K Reyes (OWNER) |
| Authorized Official Contact | 9254874007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose K Reyes Md Inc 1625 Tully Rd Ste A San Jose CA 95122-2541 Ph: (408) 929-0606 | Jose K Reyes Md Inc 1625 Tully Rd Ste A San Jose CA 95122-2541 Ph: (408) 929-0606 |
| NPI Number | 1356928402 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 5698182020 |
|---|---|
| Medicare Enrollment ID | O20210330002711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356928402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose K Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952454274 PECOS PAC ID: 3577702075 Enrollment ID: I20181220002568 |
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