MARY BEATRICE REYES (NPI# 1124351473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124351473 |
| Entity Type | Individual |
| Full Name | MARY BEATRICE REYES |
| Other Name | MARY BEATRICE REYES |
| Credential | PH.D. |
| Practice Address |
1009 Nw 5th Ave Jefferson Reaves Health Center Miami FL 33136-3212 |
| Practice Telephone | 7864664000 |
| Practice Fax Number | 3055854405 |
| Mailing Telephone | 7864664000 |
| Mailing Fax Number | 3055854405 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2015-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
PY7474 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY7474 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TAX ID | 472993025 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780951756 | Mary M Reyes | Massage Therapist | 13041 Highway 6, Santa Fe, TX 77510-8161 | 2011-11-18 |
| 1346548823 | Mary Elizabeth Reyes | Counselor | 1421 Berkshire Dr, Austin, TX 78723-1838 | 2011-03-07 |
| 1730553371 | Mary Elizabeth Reyes | Registered Nurse | 9040 Reid Street, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2015-11-19 |
| 1578705158 | Mary Reyes | Occupational Therapist | 1119 Owens St N, Stillwater, MN 55082-4316 | 2009-03-30 |
| 1174784995 | Mary Jane Reyes | Hospitalist | 3300 Gallows Road, Department of Medicine, Falls Church, VA 22042 | 2008-06-24 |
| 1104002427 | Mary A Reyes | Nutritionist | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2008-01-16 |
| Street Address |
1009 NW 5TH AVE JEFFERSON REAVES HEALTH CENTER |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034493 | Rocio Quintero | Family Medicine | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-07-15 |
| 1891061974 | Rachel Louvonia Freeman | Dietitian, Registered | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2012-03-22 |
| 1932403367 | Heidi Halliday Allespach | Psychologist | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2010-12-28 |
| 1497078828 | William F Arce Montoya | Family Medicine | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2010-03-12 |
| 1972649218 | Rosa M Bueno | Dentist | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2007-01-30 |
| 1851467666 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-11-27 |
| 1457421224 | Public Health Trust of Dade County Florida | Clinic/Center | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-11-09 |
| 1861590622 | Karen Priscilla Frazier | Nurse Practitioner | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-09-20 |
| 1982619722 | Public Health Trust of Dade County Florida | Clinic/Center | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1295083376 | Carolina Avila | Psychologist | 1695 Nw 9th Ave Ste 2516, Miami, FL 33136-1409 | 2012-08-21 |
| 1114252947 | Mercedes C. Garcia | Psychologist | 14221 Sw 120th St Ste 118, Miami, FL 33186-7463 | 2009-10-13 |
| 1144485673 | Daniel Marc Bagner | Psychologist | 11200 Sw 8th St Fiu Center for Children and Families, Miami, FL 33199-2659 | 2008-07-24 |
| 1437327129 | Magalis Aguilera | Psychologist | 9745 Sunset Dr, Suite 218, Miami, FL 33173-4652 | 2008-02-14 |
| 1275751125 | Susan Rose Chalfin | Psychologist | 1695 Nw 9th Avenue, Room 1517a, Miami, FL 33136 | 2007-04-23 |
| 1396222840 | Marina Villani Capo | Psychologist | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2018-07-26 |
| 1740714948 | Eileen Matias Davis | Psychologist | 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 | 2017-04-13 |
| 1730624818 | Susan Acosta, Phd | Psychologist | 7700 N Kendall Dr, Miami, FL 33156-7564 | 2016-12-28 |
| Find all providers in MIAMI | ||||
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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.