Doctor Name: | DR. ANTONIO J REYES |
NPI Number: | 1952321978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0065030 |
Business Practice Address: | 1350 Sw 57th Ave Suite 314 West Miami, FL - 331445775 |
Business Phone Number: | 3052672182 |
Business Fax Number: | 3052671244 |
Mailing Address: | 1350 Sw 57th Ave, Suite 314 WEST MIAMI |
State: | FL |
Postal Code: | 331445775 |
Phone Number: | 3052672182 |
Fax Number: | 3052671244 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0065030 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |