| Doctor Name: | WANDA I. PEREZ-REYES |
| NPI Number: | 1740477579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 16878 |
| Business Practice Address: | A2 Carr 924 Suite #2 Urb San Antonio Humacao, PR - 007919998 |
| Business Phone Number: | 7878509595 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3407, JUNCOS |
| State: | PR |
| Postal Code: | 007776407 |
| Phone Number: | 7876365505 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 04/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |