Individual ProviderNathanael Andres ReyesStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306(599) 499-6500(599) 450-6248PECOS EnrollmentBased on the most recent information from CMS, provider Nathanael Andres Reyes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1497450290Provider TypeIndividualFull NameReyes, Nathanael AndresCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/3/2023Last Updated4/3/2023Contact InformationPractice LocationPractice Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306Phone(599) 499-6500FaxUnlisted FaxMailing LocationMailing Address1313 E Herndon Ave Ste 105, Fresno, CA 93720-3306Phone(599) 450-6248FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer