Doctor Name: | EVELYN REYES GARCIA |
NPI Number: | 1114030376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 6096 |
Business Practice Address: | Carretera Numero 2 Km 70.3 Bo. Domingo Ruiz Arecibo, PR - 00612 |
Business Phone Number: | 7878793946 |
Business Fax Number: | |
Mailing Address: | Po Box 957, ARECIBO |
State: | PR |
Postal Code: | 00612 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |