Individual
IBIS REYES SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
14221 SW 120TH ST STE 125, MIAMI, FL 33186-7463
(305) 482-1452
Mailing address
14480 SW 160TH TER, MIAMI, FL 33177-1700
(786) 287-5127
(786) 590-1861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11004965
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11004965
FL
Other
Enumeration date
11/06/2019
Last updated
03/26/2026
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