Provider Demographics
NPI:1730402553
Name:ARMAS MARRERO, REINALDO (LMT)
Entity type:Individual
Prefix:
First Name:REINALDO
Middle Name:
Last Name:ARMAS MARRERO
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2654
Mailing Address - Country:US
Mailing Address - Phone:561-832-3626
Mailing Address - Fax:561-832-3627
Practice Address - Street 1:333 SOUTHERN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-2654
Practice Address - Country:US
Practice Address - Phone:561-832-3626
Practice Address - Fax:561-832-3627
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA45212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM24354OtherSTATE LICENSE
FLMA45212OtherSTATE LICENSE
FLHCC7963OtherAHCA LICENSE