Healthcare Provider Details

I. General information

NPI: 1932935897
Provider Name (Legal Business Name): DANIEL REYES PT, DPT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20000 NW 27TH AVE
MIAMI GARDENS FL
33056-2674
US

IV. Provider business mailing address

540 E 46TH ST
HIALEAH FL
33013-1944
US

V. Phone/Fax

Practice location:
  • Phone: 305-336-8271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: