Individual
LUIS GERARDO REYES CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 AVEMUNOZ RIVERA, PASEO CARIBE BUILDING STE 104, SAN JUAN, PR 00901
(888) 900-0073
(787) 289-8715
Mailing address
CALLE UNO APT 27B, CONDOMINO VISTAS DEL RIO, BAYAMON, PR 00959
(787) 306-2684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4593
PR
Other
Enumeration date
10/06/2021
Last updated
02/09/2022
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