MEDICARE: IVET REYES CREME

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	363LF0000X	Family Nurse Practitioner	11043132	FL

General Provider Information

NPI Number	:	1457211047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVET REYES CREME

Provider Business Mailing Address
First Line	:	1401 VILLAGE BLVD APT 414
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2762
Country	:	US
Telephone Number	:	305-399-8644
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 VILLAGE BLVD APT 414
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2762
Country	:	US
Telephone Number	:	305-399-8644
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	11/14/2025

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Directions to “ IVET REYES CREME ” Practice Location

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