| Doctor Name: | JUAN A REYES ROSARIO |
| NPI Number: | 1104037209 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 10913 |
| Business Practice Address: | 867 Road Km.2.2 Suite 1 Centro De Diagnostico De Toa Baja Toa Baja, PR - 00949 |
| Business Phone Number: | 7872610202 |
| Business Fax Number: | |
| Mailing Address: | 200 Ave Blvd Monroig, Condominio Lago Vista Ii Apt.284 TOA BAJA |
| State: | PR |
| Postal Code: | 009494434 |
| Phone Number: | 7875058465 |
| Fax Number: | 7877846895 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 08/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10913 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |