Healthcare Provider Details

I. General information

NPI: 1447580824
Provider Name (Legal Business Name): MARIA CARIDAD REYES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LINTON BLVD
DELRAY BEACH FL
33445-6584
US

IV. Provider business mailing address

7000 W PALMETTO PARK RD STE 201
BOCA RATON FL
33433-3430
US

V. Phone/Fax

Practice location:
  • Phone: 561-498-5660
  • Fax: 561-498-0753
Mailing address:
  • Phone: 305-384-5219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9339364
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: