# REYNOSO MD MEDICAL CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336384551
- **Authorized official:** JENNIFER G REYNOSO (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (480) 659-1509

## Contact information

- **Practice address:** 8595 E BELL RD, SUITE 103, SCOTTSDALE, AZ 85260-1306
- **Practice address phone:** (480) 659-1509
- **Practice address fax:** (480) 659-0275
- **Mailing address:** 8595 E BELL RD, SUITE 103, SCOTTSDALE, AZ 85260-1306
- **Mailing address phone:** (480) 659-1509
- **Mailing address fax:** (480) 659-0275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12818 | AZ | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 03/05/2010
