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General NPI Number Information
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NPI Number | 1548973886
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Entity Type | Organization
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Legal Business Name | REYES MEDICAL CENTER CORP
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 12955 SW 42ND ST STE 9
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City | MIAMI
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State | FL
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Zip | 33175-2932
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Country | US
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Telephone | 786-633-6332
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Fax |
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Provider Business Mailing Address
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Address Line | 12955 SW 42ND ST STE 9
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City | MIAMI
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State | FL
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Zip | 33175-2932
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Country | US
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Telephone | 786-633-6332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DUNIA REYES HERNANDEZ
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Credential |
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Telephone | 786-633-6332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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