| Doctor Name: | DR. NIELSON JOSE REYES |
| NPI Number: | 1356588818 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M. D. |
| License Number: | 17457 |
| Business Practice Address: | Chalets San Lorenzo 304 C Arecibo, PR - 00612 |
| Business Phone Number: | 7873846611 |
| Business Fax Number: | 7878168472 |
| Mailing Address: | Po Box 1, ARECIBO |
| State: | PR |
| Postal Code: | 006130001 |
| Phone Number: | 7873846611 |
| Fax Number: | 7878168472 |
| NPI Enumeration Date: | 01/20/2009 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |