Individual
ELBA ROSA MARTIN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE SAN PATRICIO # 101, MARAMAR PLAZA SUITE 1240, GUAYNABO, PR 00968-4484
(787) 508-5445
Mailing address
87 CARRET 20 COND LA ARBOLEDA, APT 1603, GUAYNABO, PR 00966
(787) 782-4156
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16147
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16147
MEDICAL LISENCE
PR
Enumeration date
08/18/2005
Last updated
03/07/2016
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