Provider Demographics
NPI:1194925172
Name:REINA, LEXANDER ALBERTO (MSBE, ATP, RET)
Entity type:Individual
Prefix:MR
First Name:LEXANDER
Middle Name:ALBERTO
Last Name:REINA
Suffix:
Gender:M
Credentials:MSBE, ATP, RET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5444
Mailing Address - Country:US
Mailing Address - Phone:786-554-4099
Mailing Address - Fax:305-234-6591
Practice Address - Street 1:1329 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5444
Practice Address - Country:US
Practice Address - Phone:786-554-4099
Practice Address - Fax:305-234-6591
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBC1252696171WH0202X
225CA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner