Provider Demographics
NPI:1023682424
Name:CANO, REYNA ELIZABETH
Entity type:Individual
Prefix:
First Name:REYNA
Middle Name:ELIZABETH
Last Name:CANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 NW 85TH CT APT 9
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3826
Mailing Address - Country:US
Mailing Address - Phone:786-526-8352
Mailing Address - Fax:
Practice Address - Street 1:365 NW 85TH CT APT 9
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3826
Practice Address - Country:US
Practice Address - Phone:786-526-8352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider