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General NPI Number Information
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NPI Number | 1457600637
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Entity Type | Organization
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Legal Business Name | REYES SENIOR CARE OF MIAMI, INC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 9830 SW 3RD ST
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City | MIAMI
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State | FL
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Zip | 33174-1935
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Country | US
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Telephone | 305-710-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 9830 SW 3 ST
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City | MIAMI
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State | FL
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Zip | 33174
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Country | US
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Telephone | 305-710-4543
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CELSA ALVAREZ
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Credential |
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Telephone | 305-710-4543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11213
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License Number State | FL
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