National Provider Identifier
Teodoro Reyes Mariano Jr., M.D.
Teodoro Reyes Mariano Jr., M.D. is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 510-3883.
Profile Overview
- NPI
- 1477577583
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- July 26, 2006
- Last Updated
- January 03, 2024
Practice Location
- 800 Spencerport RD
- Rochester, NY 14606-4820
Phone: (585) 510-3883
Specialties
- Cardiovascular Disease Physician (207RC0000X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1477577583
- Entity Type
- Individual
- Last Name
- Mariano
- First Name
- Teodoro
- Middle Name
- Reyes
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- M.D.
- Mailing Street Address
- 800 Spencerport RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4820
- Mailing Country
- US
- Mailing Phone
- (585) 510-3883
- Practice Street Address
- 800 Spencerport RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4820
- Practice Country
- US
- Practice Phone
- (585) 510-3883
- Enumeration Date
- July 26, 2006
- Last Updated
- January 03, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 444111502 (NY, United Healthcare Ppo), MD1826 (NY, Preferred Care Provider), 80121911498001 (NY, BCBS Of Western Ny), 5339337 (NY, Aetna Ppo), P010129789 (NY, Blue Choice Provider No.), 224911 (NY, Nys Workers Comp), 2564331 (NY, Aetna Hmo), 0524 (NY, Blue Cross Blue Shield), 100768BJ (NY, Preferred Care Provider), MD2826 (NY, Preferred Care Cardiology)