BLAS A REYES MD PA (NPI# 1104993005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993005 |
| Entity Type | Organization |
| Organization Name | BLAS A REYES MD PA |
| Practice Address |
8940 N Kendall Dr 1002 E Miami FL 33176-2178 |
| Mailing Address |
8940 N Kendall Drive #1002 E Miami FL 33176-2178 |
| Practice Telephone | 3052738337 |
| Mailing Telephone | 3052738337 |
| Mailing Fax Number | 3052730144 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BLAS A REYES (DIRECTOR DOCTOR) |
| Authorized Official Telephone | 3052738337 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
FL | Allopathic & Osteopathic Physicians |
| Street Address |
8940 N KENDALL DR 1002 E |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458109 | Maria Ortiz | Audiologist | 8940 N Kendall Dr, Suite 504e, Miami, FL 33176-2148 | 2005-06-27 |
| 1851940381 | Kevin Perez | Orthopaedic Surgery | 8940 N Kendall Dr, Miami, FL 33176-2148 | 2019-09-07 |
| 1720443781 | Jean-paul Talamas | Physician Assistant | 8940 N Kendall Dr, Suite 701e, Miami, FL 33176-2148 | 2015-12-17 |
| 1326411828 | Monica Maria Escobedo | Physician Assistant | 8940 N Kendall Dr, Suite 504e, Miami, FL 33176 | 2015-11-05 |
| 1134512064 | Arsj Pediatrics Infectious Diseases | Pediatrics | 8940 N Kendall Dr, Suite 603e, Miami, FL 33176-2148 | 2015-03-17 |
| 1346651924 | Amy Malespin | Nurse Practitioner | 8940 N Kendall Dr, 300 East Tower, Miami, FL 33176-2148 | 2014-05-16 |
| 1457780926 | Monica Brador | Physician Assistant | 8940 N Kendall Dr, Suite 504e, Miami, FL 33176-2148 | 2013-11-05 |
| 1689911505 | Miami Oms, LLC | Dentist | 8940 N Kendall Dr, 604e, Miami, FL 33176-2148 | 2013-01-11 |
| 1578815080 | Rhonda Freeman | Nurse Practitioner | 8940 N Kendall Dr, Miami, FL 33176-2148 | 2012-10-08 |
| 1568712966 | Rachel Ilizabeth Evans-tala | Speech-Language Pathologist | 8940 N Kendall Dr, Suite # 504e, Miami, FL 33176-2148 | 2012-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1003010216 | Anthony T Hasan | Dermatology | 8501 Sw 124th Ave Ste 112, Miami, FL 33183-4631 | 2007-06-12 |
| 1740556364 | Jennifer C Tang | Dermatology | 1475 Nw 12th Ave Fl 2, Miami, FL 33136-1002 | 2012-03-28 |
| 1679712269 | Leavitt Medical Associates of Florida Inc | Dermatology | 8501 Sw 124th Ave, Suite 112, Miami, FL 33183-4627 | 2009-02-05 |
| 1134371669 | Leavitt Medical Associates of Florida Inc | Dermatology | 8370 W Flagler St, Suite 200, Miami, FL 33144-2094 | 2008-10-15 |
| 1730339078 | Leavitt Medical Associates of Florida Inc | Dermatology | 11760 Bird Rd, #452, Miami, FL 33175-3582 | 2008-09-23 |
| 1023276516 | Leavitt Medical Associates of Florida Inc | Dermatology | 3661 S Miami Ave, Suite 702, Miami, FL 33133-4236 | 2008-05-30 |
| 1437317930 | Leavitt Medical Associates of Florida Inc | Dermatology | 9000 Sw 87th Ct, Suite 202, Miami, FL 33176-2231 | 2008-05-30 |
| 1568528081 | Blas A Reyes | Dermatology | 8940 N Kendall Dr, #1002 E, Miami, FL 33176 | 2006-12-29 |
| 1083644421 | Keyvan Nouri | Dermatology | 1475 Nw 12 Ave, Box 016960, Miami, FL 33101 | 2006-07-03 |
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| 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.