Provider Demographics
NPI:1568528081
Name:REYES, BLAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:BLAS
Middle Name:A
Last Name:REYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:#1002 E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176
Mailing Address - Country:US
Mailing Address - Phone:305-273-8337
Mailing Address - Fax:305-273-0144
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:#1002 E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-273-8337
Practice Address - Fax:305-273-0144
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0056802207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
08939Medicare ID - Type Unspecified
D08520Medicare UPIN