Healthcare Provider Details

I. General information

NPI: 1649199761
Provider Name (Legal Business Name): BARBARA REYES CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 TRAVIS RD
WEST PALM BEACH FL
33406-5262
US

IV. Provider business mailing address

1919 TRAVIS RD
WEST PALM BEACH FL
33406-5262
US

V. Phone/Fax

Practice location:
  • Phone: 561-812-0760
  • Fax:
Mailing address:
  • Phone: 561-812-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number17930-I
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: