DR. LEOVIGILDO J REYES (NPI# 1104810399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104810399 |
| Entity Type | Individual |
| Full Name | DR. LEOVIGILDO J REYES |
| Credential | M.D. |
| Practice Address |
4401 N Andrews Ave Oakland Park FL 33309 |
| Mailing Address |
4401 N Andrews Ave Oakland Park FL 33309-3917 |
| Practice Telephone | 9549004686 |
| Practice Fax Number | 9549002655 |
| Mailing Telephone | 9549004686 |
| Mailing Fax Number | 9549002655 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | ME85999 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 038929 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME85999 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
038929 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME85999 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | WELLCARE | 038929 | 01 |
| FL | WELLCARE | ME85999 | 01 |
| FL | AMBETTER | ME85999 | 01 |
| FL | ME85999 | 05 | |
| GA | AETNA | 038929 | 01 |
| GA | AMBETTER | 038929 | 01 |
| GA | PEACH STATE | 038929 | 01 |
| GA | CARE SOURCE | 038929 | 01 |
| GA | 038929 | 05 | |
| GA | AMERIGROUP | 038929 | 01 |
| FL | AETNA | ME85999 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 Hope Rd Ste 100, Sandy Springs, GA 303502973 | 4046100158 | 8885512303 |
| Street Address |
4401 N ANDREWS AVE |
| City | OAKLAND PARK |
| State | FL |
| Zip Code | 33309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150217 | Ab Total Health | General Practice | 4401 N Andrews Ave, Oakland Park, FL 33309-3917 | 2015-12-09 |
| 1417320342 | Ab Total Health | Family Medicine | 4401 N Andrews Ave, Oakland Park, FL 33309-3917 | 2015-10-30 |
| 1629481809 | Rene Casanova Medical Office, Inc | Family Medicine | 4401 N Andrews Ave, Oakland Park, FL 33309-3917 | 2014-06-05 |
| 1497012819 | Invesclinic | General Practice | 4401 N Andrews Ave, Oakland Park, FL 33309-3917 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760824742 | Amin Pain Relief Inc | Pain Medicine | 1164 E Oakland Park Blvd Ste 201, Oakland Park, FL 33334-2709 | 2013-07-19 |
| 1851557854 | The Interventional Pain and Spine Institute | Pain Medicine | 5333 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3414 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
| 1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
| 1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
| 1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
| 1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
| 1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
| 1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
| 1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
| 1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
| 1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
| Find all providers with the same taxonomy | ||||
| City | OAKLAND PARK |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on DR. LEOVIGILDO J REYES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.