Provider Demographics
NPI:1851313043
Name:REY, SORAYA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SORAYA
Middle Name:
Last Name:REY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 LAWN WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5142
Mailing Address - Country:US
Mailing Address - Phone:786-515-3338
Mailing Address - Fax:
Practice Address - Street 1:239 LAWN WAY
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5142
Practice Address - Country:US
Practice Address - Phone:786-515-3338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8028ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER