Provider Demographics
NPI:1467669648
Name:MELCHOR-BEAUPRE, REGINA
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:
Last Name:MELCHOR-BEAUPRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 SW 57TH CT
Mailing Address - Street 2:STE 555
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5317
Mailing Address - Country:US
Mailing Address - Phone:305-509-9882
Mailing Address - Fax:
Practice Address - Street 1:7301 SW 57TH CT
Practice Address - Street 2:STE 555
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5317
Practice Address - Country:US
Practice Address - Phone:305-509-9882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist