Individual
DR. ANTONIO J REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 SW 57TH AVE, SUITE 314, WEST MIAMI, FL 33144-5775
(305) 267-2182
(305) 267-1244
Mailing address
1350 SW 57TH AVE, SUITE 314, WEST MIAMI, FL 33144-5775
(305) 267-2182
(305) 267-1244
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065030
FL
208D00000X
General Practice Physician
ME0065030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650766743
TAX ID#
FL
Enumeration date
07/20/2006
Last updated
12/19/2007
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