Odin Delos Reyes in Southbury - Primary Podiatric Medicine
Odin Delos Reyes - NPI 1679682249
Odin Delos Reyes is a Primary Podiatric Medicine in Southbury, Connecticut. Odin Delos Reyes practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Odin Delos Reyes is 1679682249. The last update date is 2016-04-26.
Odin Delos Reyes's current location address is 1 Pomperaug Office Park, Southbury, Connecticut. You can contact this provider via phone number 2032626100 and fax number 2032646679. The mailing address for Odin Delos Reyes is 1 Pomperaug Office Park, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Odin Delos Reyes |
|---|---|
| Address | 1 Pomperaug Office Park, Southbury, Connecticut |
| Phone Number | 2032626100 |
| Fax Number | 2032646679 |
| Sole Proprietor | N |
| Credentials | D.P.M |
NPI Number Detail
| NPI Number | 1679682249 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2016-04-26 |
Provider Mailing Address Detail
| Address | 1 Pomperaug Office Park |
|---|---|
| City | Southbury |
| State | Connecticut (CT) |
| Post Code | 64882295 |
| Phone Number | 2032626100 |
| Fax Number | 2032646679 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | CT 000 680 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480026445 | CT | RAILROAD MEDICARE PIN | |
| 4186947 | CT | -- |
Post Comment/ Review Below
What is the Odin Delos Reyes's unique identification number?
The Odin Delos Reyes has been assigned the NPI (National Provider Identifier) Number 1679682249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Odin Delos Reyes's facilities are situated?
The facilities of Odin Delos Reyes are physically located at the following address: 1 Pomperaug Office Park, Southbury, CT, 64882295.
What is Odin Delos Reyes's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Odin Delos Reyes is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679682249 to Odin Delos Reyes?
The Odin Delos Reyes received its 1679682249 assignment from the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the Odin Delos Reyes's information last updated?
The Odin Delos Reyes's information was last updated on 2016-04-26.
NPI Number: 1245234582
Address: 110 W American Canyon Rd, American Canyon, CA
NPI Number: 1104821818
Address: 1000 Carondelet Dr Ste 100, Kansas City, MO