Healthcare Provider Details

I. General information

NPI: 1669300588
Provider Name (Legal Business Name): M REYES HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 W 49TH PL STE 502
HIALEAH FL
33012-3190
US

IV. Provider business mailing address

1490 W 49TH PL STE 502
HIALEAH FL
33012-3190
US

V. Phone/Fax

Practice location:
  • Phone: 786-626-5061
  • Fax:
Mailing address:
  • Phone: 786-626-5061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIO ORLANDO REYES RODRIGUEZ SR.
Title or Position: OWNER
Credential:
Phone: 786-626-5061