Provider Demographics
NPI:1205829074
Name:REYES, ANDRES M (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:M
Last Name:REYES
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:661 E ALTAMONTE DR STE 213
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5102
Mailing Address - Country:US
Mailing Address - Phone:407-951-5883
Mailing Address - Fax:407-951-8326
Practice Address - Street 1:661 E ALTAMONTE DR STE 213
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5102
Practice Address - Country:US
Practice Address - Phone:407-951-5883
Practice Address - Fax:407-951-8326
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2024-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME100755207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL147LTOtherFLORIDA BLUE