Individual
GERARDO REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
059179
GA
2080P0203X
Pediatric Critical Care Medicine Physician
2014-02124
NC
2080P0203X
Pediatric Critical Care Medicine Physician
H3835
TX
2080P0203X
Pediatric Critical Care Medicine Physician
MD2023-1175
NM
2080P0203X
Pediatric Critical Care Medicine Physician
ME123613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-091219
—
IL
05
—
315942089A
—
GA
05
—
G59179
—
SC
Enumeration date
06/12/2006
Last updated
06/13/2024
Update your record
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