Reyes, Gerardo
Reyes, Gerardo is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31403-3089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Reyes, Gerardo can be contacted via phone (912) 350-8016.Contact Information
Primary practice address
4700 Waters Ave
Savannah GA 31403-3089
Phone: (912) 350-8016
Fax: (912) 350-7221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | H3835 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2014-02124 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | MD2023-1175 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | ME123613 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 059179 | Georgia |
Profile Details
| NPI number | 1194767954 |
|---|---|
| LBN Legal business name | Reyes, Gerardo |
| Credentials | M.D., M.B.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jun 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194767954 | NPPES |
| South Carolina | MEDICAID | G59179 | |
| South Carolina | MEDICAID | 315942089A | |
| South Carolina | MEDICAID | 036-091219 |
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