NPI 1003046962

Jacklyn Reyes Pancrudo, DO

Practitioner Critical Care Medicine (Internal Medicine) Physician Miami, FL

Practice location

Address: 11750 SW 40th St, Miami, FL 33175-3530
Phone: (561) 997-0821
Mailing address: 1875 NW Corporate Blvd Suite 270, Boca Raton, FL 33431-8542

Registered specialties

Critical Care Medicine (Internal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0200X Licence OS11255 (FL)

Other Internal Medicine providers in Florida →

Registry record

NPI: 1003046962
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2009
Record last updated: 27 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.