Provider Demographics
NPI:1881867703
Name:FRANCISCO REYTOR M D PA
Entity Type:Organization
Organization Name:FRANCISCO REYTOR M D PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-264-5154
Mailing Address - Street 1:4800 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2523
Mailing Address - Country:US
Mailing Address - Phone:305-264-5154
Mailing Address - Fax:305-265-5124
Practice Address - Street 1:4800 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2523
Practice Address - Country:US
Practice Address - Phone:305-264-5154
Practice Address - Fax:305-265-5124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81886208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAO392Medicare PIN