Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Teodoro Reyes Mariano Jr., MD

Individual provider Cardiovascular Disease Physician · NPI 1477577583

Dr. Teodoro Reyes Mariano Jr., MD is an Internal Medicine in Rochester, New York. Qualified in 1970, 56 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
56
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Spencerport Rd
Rochester, NY 14606-4820
Phone: (585) 510-3883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 129789 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 129789 (NY)

Record details

NPI number1477577583
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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