# NELLY REYES GONZALEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932162955
- **Gender:** F
- **Credential:** RPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 624 | PR | Yes |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 03/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50483 | PMC MEDICARE CHOICE | PR |
| 01 | — | 825693 | MEDICARE MUCHO MAS | PR |