Provider Demographics
NPI:1043407281
Name:ROBERT BARBARITO REIUMONT NOVOA PSYD
Entity Type:Organization
Organization Name:ROBERT BARBARITO REIUMONT NOVOA PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLGISTS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BARBARITO
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:786-426-1849
Mailing Address - Street 1:2001 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 2111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-5009
Mailing Address - Country:US
Mailing Address - Phone:786-426-1849
Mailing Address - Fax:786-228-0389
Practice Address - Street 1:2001 BISCAYNE BLVD
Practice Address - Street 2:SUITE 2111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-5009
Practice Address - Country:US
Practice Address - Phone:786-426-1849
Practice Address - Fax:786-228-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAH063Medicare PIN