Doctor Name: | DR. TEODORO REYES MARIANO |
NPI Number: | 1477577583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 129789 |
Business Practice Address: | 21 Union Hill Dr Spencerport, NY - 145591965 |
Business Phone Number: | 5853524411 |
Business Fax Number: | |
Mailing Address: | 21 Union Hill Dr Ste C, SPENCERPORT |
State: | NY |
Postal Code: | 145591965 |
Phone Number: | 5853524411 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 129789 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |