Healthcare Provider Details

I. General information

NPI: 1629382866
Provider Name (Legal Business Name): REINA P. CARIOTI D.O.M., AP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 NW 2ND AVE #222
BOCA RATON FL
33487
US

IV. Provider business mailing address

5340 NW 2ND AVE #222
BOCA RATON FL
33487
US

V. Phone/Fax

Practice location:
  • Phone: 201-394-0680
  • Fax:
Mailing address:
  • Phone: 555-555-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: