Individual
KEYSHA KARELIS REYES OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315-321 CLL 25 NE, SAN JUAN, PR 00820
(787) 480-5277
Mailing address
CALLE MAGA M5 QUINTAS DE DORADO, DORADO, PR 00646
(787) 518-3598
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22920
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2022
Last updated
12/20/2023
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