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Individual
ROY R REYES
Active
Individual
ROY R REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME54994
FL
208000000X
Pediatrics Physician
ME54994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09113
BCBS FL
FL
01
—
45147
BC BS FL GROUP NUMBER
FL
01
—
59169402
BCBS AL
AL
01
—
K0876
MEDICARE GROUP NUMBER
FL
01
—
P00083199
RAILROAD MEDICARE
FL
Enumeration date
07/05/2005
Last updated
09/19/2018
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