MEDICARE: MR. REGINALD PEREIRA JR. MD

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	390200000X	Student in an Organized Health Care Education/Training Program	297686	NY
2	207RP1001X	Pulmonary Disease Physician	ME136598	FL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME136598	FL
4	390200000X	Student in an Organized Health Care Education/Training Program		FL
5	207R00000X	Internal Medicine Physician	ME136598	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679967657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. REGINALD PEREIRA JR. MD

Provider Business Mailing Address
First Line	:	198 NW 37TH AVE FL 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4826
Country	:	US
Telephone Number	:	305-267-5544
Fax Number	:	305-500-2133

Provider Business Practice Location Address
First Line	:	198 NW 37TH AVE FL 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4826
Country	:	US
Telephone Number	:	305-267-5544
Fax Number	:	305-500-2133

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

Provider Enumeration Date	:	03/26/2015
Last Update Date	:	08/11/2022

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Directions to “ MR. REGINALD PEREIRA JR. MD” Practice Location

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