Provider Demographics
NPI:1295714376
Name:REYTOR, FRANCISCO A (MD)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:A
Last Name:REYTOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 SW 8TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4100
Mailing Address - Country:US
Mailing Address - Phone:305-264-5154
Mailing Address - Fax:305-265-5124
Practice Address - Street 1:8300 SW 8TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4100
Practice Address - Country:US
Practice Address - Phone:305-264-5154
Practice Address - Fax:305-265-5124
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0081886207P00000X
FLME81886208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000457600Medicaid
FL58000OtherBCBS
FLP00332625OtherRRMCR
FL000457600Medicaid