Individual
ANTONIO DE JESUS REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8165 NW 192ND ST, HIALEAH, FL 33015-5204
(786) 468-9744
Mailing address
8165 NW 192ND ST, HIALEAH, FL 33015-5204
(786) 468-9744
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821637018
NON-EMERGENCY MEDICAL TRANSPORTATION
FL
05
—
1871132738
—
FL
01
—
5892372
BUSSINESS PARTNER
FL
Enumeration date
12/24/2019
Last updated
12/11/2023
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