Individual
MISS MARITZA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
TENIENTE CESAR GONZALEZ, 1106 VILLA NEVAREZ, RIO PIEDRAS, PR 00928
(787) 758-8019
Mailing address
HC 1 BOX 2465, MEDIANIA BAJA, LOIZA, PR 00772-9704
(787) 529-3173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20090
PR
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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