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Individual

DR. RAUL A. REYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 CALLE NIZA, VILLA CAPRI, SAN JUAN, PR 00924-4054
(787) 760-2580
Mailing address
18-4 CALLE 5, MANSIONES DE TORRIMAR, GUAYNABO, PR 00969-3312
(787) 720-5123

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5904
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097843
PTAN
PR
Enumeration date
09/20/2005
Last updated
06/25/2013
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