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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861448557 NPPES
Florida Other Y0PV9 BCBS / FLORIDA BLUE

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