MEDICARE: ARIANNA PEREZ REYES APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11019022	FL

General Provider Information

NPI Number	:	1336849785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA PEREZ REYES APRN

Provider Business Mailing Address
First Line	:	3217 SE 7TH CT
Second Line	:
City	:	HOMESTEAD
State	:	FL
Zip	:	33033-7219
Country	:	US
Telephone Number	:	786-992-4476
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N CONGRESS AVE STE 550
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-3461
Country	:	US
Telephone Number	:	786-992-4476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/08/2023

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