Provider Demographics
NPI:1407873391
Name:GARCIA-NAVEIRO, REINALDO (MD)
Entity Type:Individual
Prefix:
First Name:REINALDO
Middle Name:
Last Name:GARCIA-NAVEIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-4488
Mailing Address - Fax:330-543-5060
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-4488
Practice Address - Fax:330-543-5060
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0861342080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000526046OtherANTHEM
OH1017552100001OtherPA MEDICAID
OH363545OtherWELLCARE
OH2559511Medicaid
OH2559511OtherBCMH
OHGA4157852Medicare PIN
OH000000221430OtherUNISON
OHI29383Medicare UPIN
OH739163OtherBUCKEYE
OHGA4157853Medicare PIN
OHGA4157851Medicare PIN
OH000000370631OtherANTHEM
OH2506788OtherAETNA