| Ricardo R Reyes Md Pa | |
|
5333 N Dixie Hwy Suite 205 Oakland Park FL 33334-3454 | |
| (954) 772-3544 | |
| (954) 772-3545 |
| Full Name | Ricardo R Reyes Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5333 N Dixie Hwy, Oakland Park, Florida |
| Authorized Official Name and Position | Ricardo R Reyes (PRESIDENT) |
| Authorized Official Contact | 9547723544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo R Reyes Md Pa 5333 N Dixie Hwy Suite 205 Oakland Park FL 33334-3454 Ph: (954) 772-3544 | Ricardo R Reyes Md Pa 5333 N Dixie Hwy Suite 205 Oakland Park FL 33334-3454 Ph: (954) 772-3544 |
| NPI Number | 1245363134 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 11/18/2015 |
| Medicare PECOS PAC ID | 2860458809 |
|---|---|
| Medicare Enrollment ID | O20041202000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245363134 | NPI | - | NPPES |
| 049011301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME54512 (Florida) | Primary |
| Provider Name | Ricardo R Reyes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720040041 PECOS PAC ID: 7719977347 Enrollment ID: I20040515000419 |
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