Provider Demographics
NPI:1235266701
Name:OSCAR REYNA MD INC
Entity Type:Organization
Organization Name:OSCAR REYNA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-537-3381
Mailing Address - Street 1:328 WELDON ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1851
Mailing Address - Country:US
Mailing Address - Phone:724-537-3381
Mailing Address - Fax:724-537-9198
Practice Address - Street 1:328 WELDON ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1851
Practice Address - Country:US
Practice Address - Phone:724-537-3381
Practice Address - Fax:724-537-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty