Organization
JOSE R. REYNA, JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE REYNALDO REYNA JR. M.D. (OWNER/PHYSICIAN)
(505) 820-2600
Entity
Organization
Contact information
Practice address
435 SAINT MICHAELS DR, SUITE A-202, SANTA FE, NM 87505-7672
(505) 820-2600
(505) 820-2602
Mailing address
435 SAINT MICHAELS DR, SUITE A-202, SANTA FE, NM 87505-7672
(505) 820-2600
(505) 820-2602
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2001-88
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E1048
—
NM
Enumeration date
10/21/2008
Last updated
11/17/2009
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