Doctor Name: | RAUL REYES |
NPI Number: | 1376514851 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11209 |
Business Practice Address: | Borgona 3b53 Seccion Villa Del Rey Caguas, PR - 00726 |
Business Phone Number: | 7873986837 |
Business Fax Number: | 7877434422 |
Mailing Address: | Po Box 8307, CAGUAS |
State: | PR |
Postal Code: | 00726 |
Phone Number: | 7877434422 |
Fax Number: | 7877434422 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 10/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11209 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |