MEDICARE: MARIA DE LOS A RODRIGUEZ REYES

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	9428458	FL
2	363LP2300X	Primary Care Nurse Practitioner	APRN9428458	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831674001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE LOS A RODRIGUEZ REYES

Provider Business Mailing Address
First Line	:	9350 SW 137TH AVE APT 509
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1404
Country	:	US
Telephone Number	:	787-241-8955
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 SW 107TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-3634
Country	:	US
Telephone Number	:	786-238-7486
Fax Number	:

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

Provider Enumeration Date	:	10/03/2018
Last Update Date	:	11/03/2025

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