Individual
DR. JAVIER REYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18300 NW 62ND AVE STE 100, HIALEAH, FL 33015-8207
(305) 749-6203
(786) 520-3173
Mailing address
18300 NW 62ND AVE STE 100, HIALEAH, FL 33015-8207
(305) 749-6203
(786) 520-3173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME108112
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME102118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004485600
—
FL
Enumeration date
08/31/2010
Last updated
12/04/2019
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