Provider Demographics
NPI:1437997228
Name:MREYES NP CORP
Entity type:Organization
Organization Name:MREYES NP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARILIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-915-6757
Mailing Address - Street 1:1051 W 29TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5057
Mailing Address - Country:US
Mailing Address - Phone:305-907-6600
Mailing Address - Fax:305-907-6605
Practice Address - Street 1:1051 W 29TH ST STE 3
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5057
Practice Address - Country:US
Practice Address - Phone:305-907-6600
Practice Address - Fax:305-907-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty