Individual
MRS. ODALIS A REYES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
COOP CIUDAD UNIVERSITARIA, G10 AVE PERIFERAL, TRUJILLO ALTO, PR 00976-2104
(787) 760-8405
(787) 760-8484
Mailing address
URB VENUS GARDENS, 1760 CALLE PELIUX, SAN JUAN, PR 00926
(787) 361-5449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000698
PR
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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