Individual
DR. NEMENCIO REYES RONQUILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 585-5886
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 585-5886
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME143106
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
TP991
KY
Other
Enumeration date
07/13/2010
Last updated
12/13/2019
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