Healthcare Provider Details

I. General information

NPI: 1407878762
Provider Name (Legal Business Name): RHEINCHARD ROBERTO REYES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4659 W FLAGLER ST
CORAL GABLES FL
33134-1512
US

IV. Provider business mailing address

4659 W FLAGLER ST
CORAL GABLES FL
33134-1512
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-3372
  • Fax: 305-445-3359
Mailing address:
  • Phone: 305-445-3372
  • Fax: 305-445-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME00777894
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME0077894
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberME0077894
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: