Provider Demographics
NPI:1972533644
Name:ARGUELLES, REYNALDO L (ARNP)
Entity type:Individual
Prefix:
First Name:REYNALDO
Middle Name:L
Last Name:ARGUELLES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 CAMERON DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3515
Mailing Address - Country:US
Mailing Address - Phone:954-608-3341
Mailing Address - Fax:954-306-0366
Practice Address - Street 1:9750 NW 33RD ST
Practice Address - Street 2:214
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4042
Practice Address - Country:US
Practice Address - Phone:954-318-6594
Practice Address - Fax:954-318-6604
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1141592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP1141592OtherARNP