Individual
BENITO REYES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
12855 SW 132ND ST, MIAMI, FL 33186-7207
(786) 587-0424
Mailing address
191 NW 97TH AVE APT 419, MIAMI, FL 33172-4158
(786) 499-8874
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-15-01301
FL
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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