MEDICARE: DR. JOSE ANDRES REY PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1300X	Psychiatric Pharmacist	PS26982	FL

General Provider Information

NPI Number	:	1124239876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ANDRES REY PHARM.D.

Provider Business Mailing Address
First Line	:	5425 HAYES ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4630
Country	:	US
Telephone Number	:	954-986-0485
Fax Number	:	954-262-2278

Provider Business Practice Location Address
First Line	:	5425 HAYES ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-4630
Country	:	US
Telephone Number	:	954-986-0485
Fax Number	:	954-262-2278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/08/2007

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