| Doctor Name: | MR. MANUEL L. REYES |
| NPI Number: | 1740406958 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MNTN01049F |
| Business Practice Address: | 729 Harold Ave Calexico, CA - 922312269 |
| Business Phone Number: | 7603570574 |
| Business Fax Number: | 7603574710 |
| Mailing Address: | 729 Harold Ave, CALEXICO |
| State: | CA |
| Postal Code: | 922312269 |
| Phone Number: | 7603570574 |
| Fax Number: | 7603574710 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 11/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | MNTN01049F |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |