Provider Demographics
NPI:1245598036
Name:REYES CANDEDO, DENNYS (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNYS
Middle Name:
Last Name:REYES CANDEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10610 SW 158TH CT APT 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4217
Mailing Address - Country:US
Mailing Address - Phone:785-596-1960
Mailing Address - Fax:
Practice Address - Street 1:8756 BOYNTON RD W STE 2300
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4439
Practice Address - Country:US
Practice Address - Phone:561-882-6214
Practice Address - Fax:561-499-7582
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1233932084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology