Doctor Name: | MR. RONALD GUMAMIT REYES |
NPI Number: | 1154622348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N/A |
License Number: | 603 054 754 |
Business Practice Address: | 12707 Se 42nd St Apt B1 12707 Se 42nd St. Apt B1 Bellevue, WA - 980061970 |
Business Phone Number: | 4254011353 |
Business Fax Number: | 4254011353 |
Mailing Address: | 12707 Se 42nd St.apt.b1, BELLEVUE |
State: | WA |
Postal Code: | 980061970 |
Phone Number: | 4254011353 |
Fax Number: | 4254011353 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 603 054 754 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |