Individual
ALEXANDER REYNA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 SW 36TH CT APT 1, MIAMI, FL 33135-4243
(178) 637-9604
Mailing address
1100 SW 36TH CT APT 1, MIAMI, FL 33135-4243
(178) 637-9604
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363L00000X
Nurse Practitioner
Primary
APRN11006681
FL
Other
Enumeration date
09/25/2017
Last updated
05/04/2021
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