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NPI Code Detail

MEDICARE: ADISNEILYS LOPEZ REYES

MEDICARE: ADISNEILYS LOPEZ REYES
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
1106S00000XBehavior TechnicianRBT25494045FL

General Provider Information

NPI Number : 1841133386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADISNEILYS LOPEZ REYES
Provider Business Mailing Address
First Line : 3760 PRAIRIE FOX LN APT 4
Second Line :
City : ORLANDO
State : FL
Zip : 32812-4083
Country : US
Telephone Number : 321-444-9527
Fax Number : 407-641-9591
Provider Business Practice Location Address
First Line : 2151 CONSULATE DR STE 11
Second Line :
City : ORLANDO
State : FL
Zip : 32837-8806
Country : US
Telephone Number : 321-444-9527
Fax Number : 407-641-9591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ ADISNEILYS LOPEZ REYES ” Practice Location

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