Clarissa Vitalina Reynoso
MD | Pediatrics | Female
Clarissa Vitalina Reynoso, MD is a Baton Rouge, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics. Clarissa Vitalina Reynoso is also known as
Clarissa V Reynoso Azuris.
Current practice location of Clarissa Vitalina Reynoso is
8415 Goodwood Blvd Ste 202, Baton Rouge, Louisiana - 70806-7851. She can be contacted on phone at
225-765-8013 and fax number 225-765-2033.
Clarissa Vitalina Reynoso is a sole proprietor of her business.
NPI number (Unique professional ID) for Clarissa Vitalina Reynoso is
1669877908 which was assigned by NPPES on 29 Oct, 2014 and it was last updated on 14 Mar, 2023.
Clarissa Vitalina Reynoso license number is
334001 for Pediatrics (208000000X) in Louisiana.
Clarissa Vitalina Reynoso is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Clarissa Vitalina Reynoso basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Clarissa Vitalina Reynoso |
|---|
| Other Name : | Clarissa V Reynoso Azuris |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
|---|
Business Address:
Clarissa Vitalina Reynoso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8415 Goodwood Blvd Ste 202
Baton Rouge, LA, 70806-7851
United States |
|---|
| Phone Number : | 225-765-8013 |
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| Fax Number : | 225-765-2033 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669877908 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Oct, 2014 |
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| Last Updated On : | 14 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clarissa Vitalina Reynoso are as mentioned. Primary taxonomy code for Clarissa Vitalina Reynoso, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 334001 | LA |
| 208000000X | Pediatrics | No | MD41082 | SC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
113 LINER DR,
GREENWOOD, SC, 29646-2311
United States | GREENWOOD, SC | 864-941-8170 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | creynoso5060260@direct.casso.us.com
FMOLHS-Epic | No affiliation | DIRECT
Direct
| OTHER
Other
creynoso5060260@direct.casso.us.com | 8415 Goodwood Blvd Ste 202,
Baton Rouge, LA, 70806-7851
United States |
FHIR
(FHIR URL) | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
FMOLHS FHIR URL | No affiliation | OTHER
Other
FHIR API | OTHER
Other
C-CDA | 8415 Goodwood Blvd Ste 202,
Baton Rouge, LA, 70806-7851
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5959 S Sherwood Forest Blvd
Baton Rouge, LA, 70816-6038
United States |
|---|
| Phone Number : | 225-765-8013 |
|---|
| Fax Number : | 225-765-9196 |
|---|
Business Location:
Patients can refer following map for directions to
Clarissa Vitalina Reynoso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.