Provider Demographics
NPI:1811984727
Name:REYES, RAMON GILBERTO (MD)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:GILBERTO
Last Name:REYES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7579 N LOOP 1604 W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2781
Mailing Address - Country:US
Mailing Address - Phone:210-695-1900
Mailing Address - Fax:210-695-1901
Practice Address - Street 1:1201 S MAIN ST STE 114
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2838
Practice Address - Country:US
Practice Address - Phone:830-307-1200
Practice Address - Fax:830-224-0054
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2025-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ438OtherBC/BS
TX137325010Medicaid
TX137325011Medicaid
TX8F4016Medicare PIN
TXE46860Medicare UPIN