Individual
DR. JOSE RAFAEL REYES VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2302 VALENTINE AVE APT 12A, BRONX, NY 10458-7252
(646) 670-6004
Mailing address
2302 VALENTINE AVE APT 12A, BRONX, NY 10458-7252
(646) 670-6004
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
22-489
NY
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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