MEDICARE: DR. ZAIDA M REOYO M.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	2084P0800X	Psychiatry Physician	14497	PR
2	2084P0805X	Geriatric Psychiatry Physician	14497	PR

General Provider Information

NPI Number	:	1346318227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAIDA M REOYO M.D.

Provider Business Mailing Address
First Line	:	6706 FOX HOLLOW DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-3063
Country	:	US
Telephone Number	:	787-557-5640
Fax Number	:

Provider Business Practice Location Address
First Line	:	7305 N MILITARY TRAIL
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33409-6315
Country	:	US
Telephone Number	:	787-557-5640
Fax Number	:

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	03/02/2017

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