Provider Demographics
NPI:1619181401
Name:REINES, ARIEL STAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:STAR
Last Name:REINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 GATE LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3321
Mailing Address - Country:US
Mailing Address - Phone:954-687-3142
Mailing Address - Fax:
Practice Address - Street 1:4400 GATE LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3321
Practice Address - Country:US
Practice Address - Phone:954-687-3142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine