| Reyes Neurology Llc | |
|
2525 Sw 75th Ave Miami FL 33155-2800 | |
| (786) 285-4505 | |
| Not Available |
| Full Name | Reyes Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2525 Sw 75th Ave, Miami, Florida |
| Authorized Official Name and Position | Dennys Reyes Candedo (NEUROLOGIST) |
| Authorized Official Contact | 7862854505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reyes Neurology Llc 335 E Linton Blvd # 2032 Delray Beach FL 33483-5023 Ph: (786) 285-4505 | Reyes Neurology Llc 2525 Sw 75th Ave Miami FL 33155-2800 Ph: (786) 285-4505 |
| NPI Number | 1114410107 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 0749532133 |
|---|---|
| Medicare Enrollment ID | O20181012001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114410107 | NPI | - | NPPES |
| ME123393 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Primary |
| Provider Name | Dennys Reyes Candedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245598036 PECOS PAC ID: 8022333848 Enrollment ID: I20151019001753 |
| Provider Name | Susana E Preciado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144848789 PECOS PAC ID: 6507253168 Enrollment ID: I20220428002185 |
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