Individual
MIRIAM LUISA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12855 SW 132ND ST, MIAMI, FL 33186-7207
(786) 587-0424
Mailing address
12855 SW 132ND ST, MIAMI, FL 33186-7207
(786) 587-0424
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
RBT-15-01296
FL
Other
Enumeration date
06/12/2016
Last updated
06/12/2016
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