Provider Demographics
NPI:1457658080
Name:FRANKLIN A. REYES, M.D., PA
Entity Type:Organization
Organization Name:FRANKLIN A. REYES, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-556-4263
Mailing Address - Street 1:7100 W 20 AVENUE
Mailing Address - Street 2:SUITE 616
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1814
Mailing Address - Country:US
Mailing Address - Phone:305-556-4263
Mailing Address - Fax:305-556-4095
Practice Address - Street 1:7100 W 20TH AVE
Practice Address - Street 2:SUITE 616
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1897
Practice Address - Country:US
Practice Address - Phone:305-556-4263
Practice Address - Fax:305-556-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039377174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1295895878OtherINDIVIDUAL NPI
FL1295895878OtherINDIVIDUAL NPI