Healthcare Provider Details

I. General information

NPI: 1245174069
Provider Name (Legal Business Name): REYNALDO MIGUEL FRANQUI JR. OCCUPATIONAL THERAPI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 SW 7TH ST APT 202
MIAMI FL
33130-2891
US

IV. Provider business mailing address

424 SW 7TH ST APT 202
MIAMI FL
33130-2891
US

V. Phone/Fax

Practice location:
  • Phone: 786-493-5079
  • Fax:
Mailing address:
  • Phone: 786-493-5079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number25986
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: