MEDICARE: REY GENERAL BUSINESS

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1194758201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REY GENERAL BUSINESS

Provider Business Mailing Address
First Line	:	1514 E 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3159
Country	:	US
Telephone Number	:	786-426-2812
Fax Number	:	786-439-3515

Provider Business Practice Location Address
First Line	:	1514 E 4TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3159
Country	:	US
Telephone Number	:	786-439-3515
Fax Number	:	786-439-3515

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ACELIA MOLINA
Credential	:
Telephone Number	:	786-426-2812

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	08/03/2007

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