Healthcare Provider Details

I. General information

NPI: 1407726383
Provider Name (Legal Business Name): REYNOL DEL CORRAL SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15231 NW 31ST AVE
MIAMI GARDENS FL
33054-2512
US

IV. Provider business mailing address

207 N 46TH AVE
HOLLYWOOD FL
33021-6603
US

V. Phone/Fax

Practice location:
  • Phone: 786-255-5579
  • Fax:
Mailing address:
  • Phone: 786-255-5579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: