Provider Demographics
NPI:1598441123
Name:DE ARMAS, REY ALEXANDER (PA-C)
Entity type:Individual
Prefix:MR
First Name:REY
Middle Name:ALEXANDER
Last Name:DE ARMAS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 SW 56TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1502
Mailing Address - Country:US
Mailing Address - Phone:786-395-1993
Mailing Address - Fax:
Practice Address - Street 1:101 S REDLAND RD
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-4630
Practice Address - Country:US
Practice Address - Phone:305-246-2844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9117744363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant