Doctor Name: | MRS. AGUEDITA REYES REYES |
NPI Number: | 1902040876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 75-48 Calle 64 Bayamon, PR - 009614538 |
Business Phone Number: | 7872004092 |
Business Fax Number: | |
Mailing Address: | Calle 64 Bloque75 #48 Urb. Sierra Bayamon, BAYAMON |
State: | PR |
Postal Code: | 00956 |
Phone Number: | 7872004092 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |