Individual
MRS. ISABEL CORDOBA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16555 NW 25TH AVE, OPA LOCKA, FL 33054-6583
(786) 466-1718
(305) 626-4854
Mailing address
8601 DUNDEE TER, MIAMI LAKES, FL 33016-1402
(786) 466-1718
(305) 626-4854
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME056195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266702
—
FL
Enumeration date
06/26/2006
Last updated
07/08/2007
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