Healthcare Provider Details

I. General information

NPI: 1114410107
Provider Name (Legal Business Name): REYES NEUROLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 SW 75TH AVE
MIAMI FL
33155-2800
US

IV. Provider business mailing address

335 E LINTON BLVD # 2032
DELRAY BEACH FL
33483-5023
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-4505
  • Fax:
Mailing address:
  • Phone: 786-285-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNYS REYES CANDEDO
Title or Position: NEUROLOGIST
Credential: MD
Phone: 786-285-4505