Individual
MR. JORGE ANTONIO REYES YAQUIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, IMH, RN
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(772) 248-2291
(772) 248-2298
Mailing address
1631 LAKEFIELD NORTH CT, WELLINGTON, FL 33414-1066
(772) 248-2291
(722) 248-2298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH 7890
FL
163WG0000X
General Practice Registered Nurse
Primary
RN9509651
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023019153
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN9509651
FL
Other
Enumeration date
01/20/2010
Last updated
02/26/2026
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