Doctor Name: | REINEL USTARIZ |
NPI Number: | 1063816619 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 10720 Caribbean Blvd Suite 420 Cutler Bay, FL - 331891218 |
Business Phone Number: | 7862939544 |
Business Fax Number: | |
Mailing Address: | 850 W 45th Pl, HIALEAH |
State: | FL |
Postal Code: | 330123539 |
Phone Number: | 7863109560 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |