| Doctor Name: | REYNALDO HACINAS |
| NPI Number: | 1215304860 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 95003024 |
| Business Practice Address: | 69175 Ramon Rd Ste A Cathedral City, CA - 922343344 |
| Business Phone Number: | 7603216776 |
| Business Fax Number: | |
| Mailing Address: | 1539 Magdalena Ave, CHULA VISTA |
| State: | CA |
| Postal Code: | 919133909 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2015 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95003024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |