Provider Demographics
NPI:1477280055
Name:HUBERT REYES, ZAYDA AMAYA (DMD)
Entity Type:Individual
Prefix:
First Name:ZAYDA
Middle Name:AMAYA
Last Name:HUBERT REYES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 SW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2028
Mailing Address - Country:US
Mailing Address - Phone:305-713-2346
Mailing Address - Fax:
Practice Address - Street 1:4289 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5387
Practice Address - Country:US
Practice Address - Phone:352-536-9644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN27305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist