Reyes, Regino Irwin Bariso
Reyes, Regino Irwin Bariso is an sole proprietor health care provider with primary practice located at 100 Southpark Blvd Ste 408-B, St Augustine FL 32086-5189. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Reyes, Regino Irwin Bariso can be contacted via phone (904) 429-4443.Contact Information
Primary practice address
100 Southpark Blvd Ste 408-B
St Augustine FL 32086-5189
Phone: (904) 429-4443
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT0007862 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA00648200 | New Jersey |
Profile Details
NPI number | 1861448557 |
---|---|
LBN Legal business name | Reyes, Regino Irwin Bariso |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 25th, 2006 |
Last updated | Mar 24th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861448557 | NPPES |
Florida | Other | Y0PV9 | BCBS / FLORIDA BLUE |
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