Provider Demographics
NPI:1053760397
Name:REYES, MARILIN (ARNP)
Entity type:Individual
Prefix:
First Name:MARILIN
Middle Name:
Last Name:REYES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARILIN
Other - Middle Name:
Other - Last Name:ARCIA LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9894 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3912
Mailing Address - Country:US
Mailing Address - Phone:305-564-9471
Mailing Address - Fax:305-564-9472
Practice Address - Street 1:9894 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3912
Practice Address - Country:US
Practice Address - Phone:305-564-9471
Practice Address - Fax:305-564-9472
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9330440363L00000X, 364SF0001X
FLAPRN9330440363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health